DONATION FORM
We believe that every baby deserves the best possible start. Your donation helps us
provide services, programs and support for moms and babies in communities like
yours across the country.
PLEASE SEND FORM AND YOUR DONATION TO:
March of Dimes
Donation Processing Center
PO Box 673667
Marietta, GA 30006
Please complete this form so that we can appropriately allocate your donation to your
local market. Thank you for your support of March of Dimes!
CONTACT INFO
Name:
Email: Telephone: ( )
DONATION INFORMATION
Total amount enclosed: $
March of Dimes location to credit: City: State:
(Please do not mail cash.)
If you would like to designate a recipient, please check the appropriate box.
March for Babies: Credit to team or walker?
Event:
Signature Chefs: Apply to sponsorship or auction purchase?
Nurse of the Year
Board gift: Credit to:
General donation
Other:
Please make check payable to “March of Dimes.”
The March of Dimes is an IRS 501(c)(3) organization (tax identiication number 13-1846366.)
© 2018 March of Dimes
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