Alpha Community Services YMCA

2015 Walk to End Homelessness

May 16, 2015
Donation Form
Donor Information
Name
Company
Address
City

State

Email

Telephone

Zip

Donation
Item or Service to Donate
Pick Up Date
Special Instructions

DEADLINE: May 1, 2015 to be listed as donor in the 2015 Walk to End Homelessness Program
Signature____________________________________________Date___________________

The children and families of Alpha Community Services YMCA extend a warmhearted thank you
for your support of the 2015 Walk to End Homelessness.
Tax-deductible 5-1c3 forms available upon request.

ALPHA COMMUNITY SERVICES YMCA

387 Clinton Avenue, Bridgeport, CT 06605
P 203 366 2809
F 203 367 1246 W www.cccymca.org