Name___________________________________________________________________________
Address __________________________________ City __________________________________
State ______________ Zip __________________ Phone _________________________________
Email ___________________________________________________________________________
Comments (donation cause, etc.):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Please Select Method of Donation:
___ Check, Money Order
___Credit Card
Credit Card # ___________________________________________ Exp _____________________
Name on Card __________________________________________ CVV _____________________
Mail to · EAC 12608 Alameda Drive · Strongsville, OH 44149
EAC is a 501(c)(3) non-profit organization. Contributions are 100% tax deductible, as provided by law.
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