14 - GIVING BACK - COTTAGE GROVE AREA NON-PROFITS - MARCH 23, 2016
PLEASE SUPPORT
AREA NON-PROFITS!
YES! I would like to DONATE!
NAME ______________________________________________________
ADDRESS __________________________________________________
PHONE: ____________________________________________________
D ONATION A MOUNT :
25
$
50
$
100
$
1000
$
O THER ____________
P LEASE MAKE CHECKS PAYABLE TO
THE NON - PROFIT OF YOUR CHOICE .
YES! I would like to VOLUNTEER !
NAME ______________________________________________________
ADDRESS __________________________________________________
PHONE: ____________________________________________________
I would like to Volunteer for: __________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Drop this form off as well as your check made out to the non-profi t of your choice at
the Cottage Grove Sentinel Offi ce located at 116 N. 6th Street, Cottage Grove, OR 97424