AMERICAN IRIS SOCIETY FOUNDATION DONATION FORM
DATE ________________
DONATION FROM: Name______________________________________________________
Address____________________________________________________
City,State,Zip________________________________________________
Phone:___________________ EMAIL:____________________________
IN MEMORY OF _____________________________________________________________
IN HONOR OF _______________________________________________________________
OR
GIFT______
AMOUNT____________
Funds to be deposited into:
AIS FUND _______
OR
AIS FOUNDATION FUND_________
Acknowledgment to be sent to:
Name__________________________________________
Address________________________________________
City,State,Zip____________________________________
PAY BY PAYPAL? YES______ NO___
PLEASE CHARGE THE FOLLOWING CREDIT CARD:
Name_____________________________________ Type of Card: VISA MC Disc AMEX
Card #____________________________________ Exp Date Mo___ Yr _____CVS______
Mail Form and/or check (made out to AIS Foundation) to Jill Bonino, AIS Foundation, 3110 Kirkham Drive, Glendale, CA 91206