Sight & Hearing Association

Online Donations

A gift to the Sight & Hearing Association will help support our work of enabling lifetime learning by identifying preventable loss of vision and hearing in children.

Please FILL out the following form. Please PRINT and MAIL it to:

Sight & Hearing Association
674 Transfer Road
St.Paul MN 55114-1402

Name:

Address:

City:

State:

Zip:

Phone:

How you would like to be acknowledged in our annual report of donors?

Recognition Name (or Company):

No thank you, I prefer to be listed as anonymous.

Enclosed is a check made payable to Sight & Hearing Association: $

-or-

Please charge my donation of: $ Visa Mastercard

Account #:

CardHolder Name:

Exp Date:

This gift is: In Memory of In Honor of

Name:

Occasion:
(if honor gift)

Please send acknowledgement of my gift to:

Name:

Address:

City:

State:

Zip:

Phone:

My employer will match my contribution. (Please ask your personnel department for a matching gift form and send the form, along with your contribution, to Sight & Hearing Association. A match can double, even triple the impact of your gift.)

Please send me information to remember Sight & Hearing Association in my will

Community Health Charities-Minnesota and United Way
If your company runs a Community Health Charities-Minnesota (CHC-M) or United Way campaign, you may designate your gift to the Sight & Hearing Association. Just designate us on your CHCM pledge form, or write us in using the United Way's Donor Choice program. If you have any questions, please call us at 800.992.0424.

Your Privacy
Please be assured that Sight & Hearing Association is committed to protecting the privacy of its donors. This information is for Sight & Hearing Association use only.

To PRINT: Please right click on any open area, then select Print.

Name:
Address:
City:
State:
Zip:
Phone:

How you would like to be acknowledged in our annual report of donors?
Recognition Name (or Company):
	No thank you, I prefer to be listed as anonymous.