Donation Form
Please include this form when mailing in your donation.     
 
I would like to make a tax-free donation of $__________________________ 

Name: ______________________________________________________

Address: ____________________________________________________

City: __________________________      State: ______      Zip: __________

Day Phone Number: __________________________ (Including Area Code)     

Evening Phone Number: _______________________ (Including Area Code)

Cell Phone: _________________________________ (Including Area Code)

Email:  ________________________________ (Optional for Foxfire Alerts)

(We respect your privacy.  No solicitation phone calls will be made, nor will 
your information be shared.)

Method of Payment (Please Check One):

*Check _____     AMEX _____     MC _____     VISA _____

*Make checks payable to The Foxfire Foundation

Credit Card #: ________________________________________________ 

Expiration Date: _____ / ______ (MM/YY)

Signature: ___________________________________________________ 

A Foxfire bracelet will be sent for each donation of $500 or more.

Thank you for your kind donation.  100% of each donation is used to promote 
anti-drug information and education by The Foxfire Foundation.

Please Mail to:

The Foxfire Foundation
P.O. Box  #175732
Fort Mitchell, KY 41017