Veterans Remembrance Committee Donation Form Veterans Remembrance Committee is a 501(c)(3) charitable organization. Mailing address: Veterans Remembrance Committee 4444 International Boulevard Oakland, CA 94601 (510) 533-4032 (510) 533-4035
Phone Number Fax Number
I/We wish to make a contribution in the amount of $500 $250 $100 Other $_________
* Denotes Required Information First Name*___________________________ Last Name*___________________________ Company___________________________ Street Address*___________________________ Suite or Apartment___________________________ City*___________________________ State*___________________________ Zip Code*___________________________ Daytime Telephone___________________________ E-Mail Address*___________________________ Charge my:* Visa MasterCard Name as it appears on card:* ___________________________ Credit Card Number*___________________________ Expiration Date: Month/Year*___________________________ Discover
You may make this gift in honor or memory of someone: In Honor of: ______________________________________________________ In Memory of: ______________________________________________________ (Optional) Please send an acknowledgement to: Name___________________________ Address___________________________ City, State, Zip______________________________________________________ The above completed form with check payable to Veterans Remembrance Committee should be mailed to: Veterans Remembrance Committee 4444 International Boulevard Oakland, CA 94601