Mail in Form – Donation

Deaf Sports Academy is exempt under section 501 (c) (3), making this donation tax deductible.

Information

Date__________________________________________________

Name_________________________________________________

Address_______________________________________________

City______________________State _______ Zip Code_________

Daytime Phone ( ) __________________ (Circle one: Voice / VP)

Email Address __________________________

_ YES, I would like to be added to your mailing list.

THIS IS HOW I WOULD LIKE MY DONATION DIRECTED
(please check one)

_ General Adminstration
_ Basketball Camp
_ Training/Clinics
_ Sponsorships
_ No Preference

DONATION INFORMATION
Enclosed is my gift of $__________ (Please make check payable to Deaf Sports Academy)

Thank you for your support!