Donation and/or Credit Card Submittal Form
May only be used for gifts of $50 or more.
Please complete the information requested below to charge
your Oaks Foundation contribution to your credit card.
Fax this form to 330 938-7406 or return it in the mail to:
John Stilts, Administrator, The Oaks Foundation,
715 S. Johnson Road, Sebring, OH 44672-1709.
First Name: Middle Initial:
(if a joint
As it appears on your credit card billing statement
This Gift Designated for: The Oaks Foundation
Please use my gift for( ex. Life Care Support)___________________________
Amount of Gift $
(U.S. Currency only)
Please Charge My Gift to:
Visa, Mastercard, Discover,
Name on the Card:
Credit Card Number:
Honor or Memorial Designations/Comments: