The PHF Donation Form
Mr. Krzysztof Poraj-Kuczewski,
Secretary
The Polish Home Foundation
1714 18th Ave,
Seattle, WA 98122
I would like to give a donation to the Polish Home Foundation in Seattle.
Name
.......................................................
Telephone ..............................................
Address
.............................................................................................................................
Email (optional)
...............................................................................................................
__ I attach a check for
$............. written to the Polish Home Foundation.
__ I also attach a gift matching
form from my employer, if applicable.
__ Please contact me to discuss my
gift.
My donation should be applied
towards (please check one):
__ the cultural fund,
__ the educational fund,
__ the medical and emergency fund,
__ the Polish Home improvement
fund,
__ the general (unrestricted)
fund;
__ other goal (please specify):
..........................................................................
Dated
.......................................
Signature..................................................
The
Polish Home Foundation is a public charity with a 501(c)(3) exempt status and
all donations are tax deductible. The PHF issues a donation confirmation letter
for tax purposes to every donor by the end of the year.