Havasu For Youth Donation Form

YES! I would like to help the youth of Lake Havasu City!

Contact Number :_____________________

Contact Name: ______________________

Organization Name: ______________________________________________________

______ Enclosed is our contribution.

______ We can pledge a support amount of $___________, funds will be made available to you (date)_____________.

______ We can sponsor Havasu For Youth in a future fundraising event in the amount of $________________.

Return to:

Havasu For Youth
PO Box 686
Lake Havasu City, AZ 86405

Thank you for your support!!