1. Donation by check:

    1. Please print form;
    2. Make check payable to: Butuan City Charities Foundation;
    3. Mail check and duly filled Donation Form to: Butuan City Charities Foundation
                                                                      5421 Pacific Blvd, Huntington Park, CA 90255, USA

    Butuan City Charities Foundation

    Donation Form

    Personal Details:
     
    Name : _____________________________________
    Address :
    • No. & Street:____________________
    • City :____________________
    • State :____________________
    • Country :____________________
    Telephone : _____________________________________
    E-Mail : _____________________________________

    Would you like to donate to a specific project?_____

    1. ______________________________ $________________
    2. ______________________________ $________________
    3. ______________________________ $________________
    4. ______________________________ $________________

    For donations via credit card, please fill-in the
    following information:

    This is to authorize BCCF to charge my donation to my
    Credit card No. :____________________________
    Expiration Date :____________________________
    Amount of Donation: One time :_________________
                                  Monthly :_________________
    Printed Name :____________________________
    Signature :____________________________

  2. Donation by Credit Card:

    1. Please print and fill-up form;
    2. Fill-up portion on Credit Card Donation;
    3. Mail form to: Butuan City Charities Foundation,
                        5421 Pacific Blvd., Huntington Park, CA 90255, USA;
    Thank you.