I am enclosing my tax-deductible contribution of $_________ to CASA of Tulare County
Name:______________________________________________________________
Mailing Address:______________________________________________________
Phone:________________________ E-Mail:__________________________________

I would like this contribution to be:
            ____ In memory of                               ____ In honor of
Please send acknowledgement to:__________________________________________
Address:____________________________________________________________
City:_________________________________ State:__________________________

I am interested in
___ Learning more about becoming a CASA Volunteer
___ Scheduling a presentation of my Service Club, Business, Church
___ Talking with someone about becoming a financial supporter of CASA
___ Wish to remain anonymous

___ Other __________________________________________________________

Please mail your donation and this form to: 
CASA of Tulare County
1146 N. Chinowth
Visalia, CA 93291

A Donation Reciept will be sent to you. Thank you so much for your generosity.