Yes, I want to help!

Please accept my contribution of:

_________ $50   _________ $100   _________ $250   ________$500   _________$1,000

      __________$5,000   __________ $10,000   __________ Other: $_______________

 

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.