Print out and complete a copy of this form and mail it to the address below,
or e-mail us with your address and we'll send you a copy via "snail mail".

(NOTE: DO NOT E-MAIL US WITH YOUR CREDIT CARD INFORMATION
AS PPI DOES NOT ACCEPT CREDIT CARDS AT THIS TIME)

Mail completed form to:

Phoenix Pride Inc. P.O. Box 16847 Phoenix, AZ 85011-6847

___Here is my one time donation of $_____________.

Name:_______________________________________________________ Billing Address:________________________________________________ City, ST, ZIP:__________________________________________________ Signature:______________________________Date:__________________ Phone Number: (____)____________________________ E-Mail Address (for confirmations and updates):_______________________

Please make checks payable to Phoenix Pride. Thank you for your donation.

As Phoenix Pride Inc. is a 501(c)3, non-profit organization, your donations are tax deductible to the extent allowed by law.
Contact your tax preparation professional for more information about your deductions.