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Dedicated Giving - Toberman Neighborhood Center

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Dedicated Giving Make a Dedicated Gift Thank you for giving to Toberman Neighborhood Center. Please provide the following information so that we can process your gift. When the process is complete we will send you an email acknowledgement for your records. For assistance during business hours, please call (310) 832-1145 ext 114 or 131. Print and then either mail or fax this Dedicated Gift Form to: Toberman Neighborhood Center 131 N GRAND AVE SAN PEDRO CA 90731-2035 Fax: (310) 832-6712 Dedicated Giving Your Information MS. First Name Middle Last Name Address Line 1 Address Line 2 City State Day Phone Evening Phone Cell Phone Email Address Zip Code Country Please keep me informed of all that is going on at Toberman Neighborhood Center. Billing Address Please check here if billing address is the same as above. Address Line 1 Address Line 2 City State Zip Code Country Dedicated Giving Payment Options Gift Amount $ Credit Card Information VISA MASTERCARD Cardholder’s First Name AMERICAN EXPRESS Cardholder’s Last Name Credit Card Number Expiration Date Month Year Card Verification Number (3-4 digit security code on back of card) Dedicated Giving Gifting Options Please designate my gift to: Toberman Neighborhood Center's greatest needs and overall mission of empowering people for a lifetime. Specific Programming Healthy Living & Learning Family Resources Gang Intervention Gift Option (In Memory of) In Memory of Who is this gift from? (All names to be included on the card) RecipientΖs Name Address Line 1 Address Line 2 City State Zip Code Country • We will mail a letter to the recipient listed above informing them of your gift. Dedicated Giving Gift Option (In Honor of) In Honor of Who is this gift from? (All names to be included on the card) Occasion: Birthday Thinking of You Anniversary Graduation Thank You None RecipientΖs Name Address Line 1 Address Line 2 City State Zip Code Country • We will mail a letter to the recipient listed above informing them of your gift.