Donation Form 2
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Donation Form
Print this page and mail to:

American Red Cross
P.O. Box 4002018
Des Moines, IA 50340-2018

Gift Information
Donation Amount:____________________________________________________________________________________
Designation:

 Where The Need Is Greatest

 Disaster Relief

 Your Local Red Cross Chapter

Please check that your name and address are correct to ensure
proper preparation of your receipt for tax purposes.
Today’s Date:_________________________________________________________________________________________
Donor Name:________________________________________________________________________________________
Employer:___________________________________________________________________________________________
Address:_____________________________________________________________________________________________
City:_______________________________ State:______________________ Zip Code:___________________________
Country:___________________________________________