Brightway Center relies on you to help us realize the vision of Kara Bright and impact the lives of children through His Love.
To print this form, go to the bottom of the page and click "Printable View."
Please print out this form and mail to:
Brightway Center
P.O. Box 126
Smithfield, OH 43948
Thank you for making the choice to help us change the lives of children.
Contact Information:
Name: __________________________________________________________________
Address: ________________________________________________________________
City/State/Zip: ___________________________________________________________
Phone: ___________________________________________________________________
Email: ___________________________________________________________________
How did you hear about Brightway Center?_______________________________________
Giving Options
Please Check One:
□ I have included Brightway Center in my will.
□ I'd like to make a lasting cost-effective donation with a monthly** credit-card charge of $________
□ I cannot give monthly but would like to make a special one-time gift of $________
Tribute Gifts
□ My gift is honor/memory (circle one) of: ____________________________________
Please send notification of this tribute gift to:
Name: _____________________________________________________________
Address: ___________________________________________________________
City/State/Zip: ______________________________________________________
Checks:
Please make checks payable to: Brightway Center
Credit Card Information:
Please charge my:
□ Visa
□ MC
□ AmEx
Card #:___________________________________________________________________
Expiration Date: ___________________________________________________________
Name on Card: ____________________________________________________________
Signature: ________________________________________________________________
**You can suspend or revise your monthly pledge at any time. Your authorization to charge your credit card will remain in effect until you tell us that you wish to end this agreement. A record of each payment will be included in your monthly credit card statement as your receipt.
Matching Gifts:
□ My company matches donations. Enclosed is my matching gift form.
Please Contact Me:
□ Sign me up to recieve your monthly e-newsletter
□ I am interested in taking a tour of the farm
□ I will designate Brightway Center in my company's charitable giving campaigns.
□ I have other thoughts to share. Please call me.
Thank you for your generosity!