Fill In The Boxes
Below Then Print
and Mail
Form Along With Your Donation
To: VTC Enterprises P.O.
Box 1187
Santa Maria, CA 93456 (Your donation
is Tax-Deductible )
Title
First Name
Last Name
Address, Line 1
Address,
Line 2 (if needed)
City
State
US
Zip or
Amount of Donation
E-mail Address
Preferred
Phone
Would you like this donation to be
made in honor or in memory of someone?
If so, check this box. Fill in the
honoree's name a below.
Honor or Memorial Donation
This donation is made
In Honor Of
In Memory Of
Title
First
Name
Last Name
And will be acknowledged to:
Title
First Name
Last Name
Address Line 1
Address Line 2 (if needed)
City
State
US Zip Code
VTC ENTERPRISES
2445 'A' Street,
P.O.Box 1187, Santa Maria, CA 93456
Telephone: (805) 928-5000
FAX: (805) 349-8011