HOLIDAY DONATION FORM
Fill in the information below, print, enclose your check 'payable to:
Family Services of Western Pennsylvania' and mail to:
Family Services of Western Pennsylvania
Village of Eastside
C/o Sue Kerr
6401 Penn Avenue, 2nd Floor
Pittsburgh, PA 15233
or print out and fax to: Sue Kerr @ 412-665-8730 and you will be contacted.
Name:
Address:
City: State:
Zip Code:
Phone #: Fax:
Email address:
How would you like to help?
$500.00 Holiday Host Sponsor
$150.00 Holiday Sparkler Sponsor
Donation specifically for adolescents and teens. Gift Card from:
Assist us by volunteering to sort and wrap the presents. Volunteer shifts are available during weekday, evening and weekend hours. Please contact me.