Donor Form

Please make check or money order payable to YWCA of Greater Cincinnati.

Submit payment by mail to:

YWCA Development Department

YWCA of Greater Cincinnati

898 Walnut Street

Cincinnati, Ohio 45202

Name: Date:

Donation Amount: $

I would like to charge my gift.

My (Visa, MasterCard, Discover or AmEx) account number is:

(Please Circle One)

Exp. Date: Cardholder’s Signature:

In publications, please print my name as:

Please check here if you do not wish to have your name acknowledged in publications

Address: City:

State: Zip: Phone:

E-Mail Address:

(optional) Type: Honor Memorial

Name of person honored/memorialized:

Please inform the following person of the honor/memorial gift:

Name

Address: City:

State: Zip: Phone:

Additional notes/instructions:

Thank you for your support.

Questions? Contact Nancy A. Spivey, Vice President, Development at (513) 361-2126 or at