To mail your gift, print this page, manually fill in, and mail to us or complete Word document electronically by clicking on the icon on the left, printing out and mail to us at:

Community Foundation for Palm Beach and Martin Counties
700 South Dixie Highway, Suite 200
West Palm Beach, FL 33401


GIFT FORM

NAME  ________________________

ADDRESS  ______________________________________
_______________________________________________

E-MAIL  ______________________

TELEPHONE  ________________________

GIFT AMOUNT   ______________

CHECK ENCLOSED ____

CREDIT CARD     _____ VISA _____MASTERCARD _____AMEX

NUMBER __________________________ EXP. DATE _______

CARDMEMBER NAME _________________________

SIGNATURE ____________________________

Please send me information on the following:
__ Start a fund that will allow me/us to recommend grants.
__ Start a fund that will provide scholarships to students.
__ Make a gift to the Community Foundation that will provide income for life.
__ Remember the Community Foundation in my/our will.
__ Partners Circle
__ Fund for Program Management
__ Community Impact Fund
__ Community Scholarship Fund
__ Community Fund to End Homelessness in Palm Beach County

700 South Dixie Highway, Suite 200  West Palm Beach, Florida 33401 
E-mail Address: info@cfpbmc.org  Website Address:  www.yourcommunityfoundation.org