Donations

Your Information:

Name:
Street Address:
City:
State:
Zip Code:
Home Phone:
Home Email:

How much would you like to sponsor?
(note: $30 sponsors 1 child)
$ (#'s only)

Please charge my credit card monthly.

Donation Made in the Honor of...(Card will be mailed)

Name
Address
City
State:
Zip
Birthday
Any other information, or message on donation card:
Thank you for supporting Birthday Blessing!!!


Birthday Blessing, Inc. | 43546 Firestone Place | Leesburg, VA 20176
703.481.8180 | 703.779.1309 fax
Email: info@birthdayblessing.org
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