If you do not receive a confirmation within 2 business days,

please contact us at 503-838-8432.

Name:
Address1:
Address2:

City: State Zip
Phone:
E-mail address:
Donation being made for :
(please enter trip member's name here)

To which

team

For which trip are you donating to?

Winter Break to assist Forgotten People Foundation

Winter Break to assist YouthCare

Winter Break to assist Sunshine Sanctuary

Spring Break to assist Habitat for Humanity

Spring Break to assist AniMeals, and Poverello Food Shelter

Spring Break to assist Habitat for Humanity Collegiate Challenge

Check will be mailed on: Amount being donated:

Please note: We are not able to take credit cards online at this time.

To pay by credit card you may call our office ph: (503) 838-8432 or fax (503) 838-8651 your information into us.

If you fax us the information, we will need the following:

• Type of Card
• Name on Card
• Number on card + 3 digit security from back of card
• Expiration Date
• Amount of donation

In the box below, please list any in kind donations you would like to make:
eg: gloves, shovels, rakes, walkie-talkies, etc

Any further information we need to know?

Click the submit button to confirm and the information you have entered.