Donation Form Click Here for printable version
I'd like to donate $ .00 Please enter a whole dollar amount, do not include symbols such as '$' and '.' First Name: Last Name: Address: City: State: Pennsylvania Alabama Alaska Arkansas American Samoa Arizona California Colorado Connecticut Disasp:TableRowict Of Columbia Delaware Florida Federated States Of Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jeresy New Mexico Nevada New York Ohio Oklahoma Oregon Rhode Island South Carolina South Dakota Puerto Rico Palau Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Zip Code: Home Phone: () - Email Address:
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My gift will support: Kids on the Go!Camp Variety for KidsGeneral
I prefer to make my donation by: Check or Money Order (made out to 'Variety the Children's Charity')DiscoverVisaMasterCard Credit Card Number: Expiration Date:
Please mail your check/money order to: the Children’s Charity of Pittsburgh Three Penn Center West, Suite 229 Pittsburgh, PA 15276 Thank you for your gift!
By checking this box you acknowledge and agree to authorize Variety the Children’s Charity to process debits/credits in electronic form to the Bank account/Credit Card referenced above. You also acknowledge and agree that this Authorization and Consent will have the same force and effect as if you signed it in writing and delivered it as such to Variety the Children’s Charity.