Page 5 - Clan Donald - Foundation Brochure 2026_WEB

My Donation (Continued)

Name: ______________________________________________________________
Address: ____________________________________________________________
City: _________________________________ State: _______ Zip: ____________
Phone: (________) _________ -_____________
Email: _______________________________________________________________
Payment Type
Card: MC Visa Paypal Am Ex
Card #: ________________________ CVV: _______ Exp Date: _______________
Check #: ________________________________ Cash: $ ____________________
Signature: ____________________________________________________________

Part II Acknowledgement: Please let us know if/how we may
recognize your generosity.
YES, I give Clan Donald Foundation permission to publish
my/our name on the website, newsletter and relevant donor
acknowledgements.
How do you wish your name to be listed or your gift to
be recognized?
__________________________________________________
I wish my gift to remain anonymous.

I understand that I am NOT making a legal, or binding,
commitment by submitting this acknowledgement.
Furthermore, Clan Donald Foundation should understand that
the size of my future gift might be significantly different from the
amount estimated above for the purposes of valuation.
Signature: __________________________________________________
Phone: (________) _________ -_____________
Printed Name: _____________________________ Date: ____________

Return this portion to:

106 Riverview Drive
Saint Simons Island, GA 31522 USA
Or donate online at:
ClanDonaldFoundation.org

a 501(c)(3) Nonprofit Organization