If you can contribute by check, please send your tax-deductible
gift to the Epworth Foundation Thanksgiving Fund
3401 High St., Denver, CO  80205

To contribute by credit card, please complete the form below.

Name                     
Street Address      
  
City                       
  State:     Zip: 
Email:                    

Contact Phone         
                      Cell Phone:
Name on Card:        

Card Type:         
      
Card Number (no spaces or dashes): 
 
Card Expiration Date:
      Card Billing Zip
Card security code: 

I would like to contribute the following amount to be used specifically for the purpose of the 2007 Community-Wide Thanksgiving Basket program (format 1234.56).    

Comments/Special Note:



Yes, please charge my credit card for the items and amounts indicated above.

(Check in box required to process order)

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