Please
complete form, click Print at the
bottom of
the page and send with check
or money order to:
Chino
Valley FFA
P.O. Box 225
Chino Valley, AZ 86323
Donor
Information
First
Name:
Last Name:
Phone:
Email Address:
Address
P.O.
Box:
City:
State:
Zip Code:
Payment
Information
Donation Amount(USD):
$
.00
Reson For Donation:
Payment Type:
Check
Money Order
I want my donation
to go to:
Donation
Write Off
Your
donation can be used as a tax write off. Any donation up to
$200 dollars per person or $400 per married couple will be
refunded when you file your Arizona tax return. After
you have filled out the rest of the form, click print and
fill the following out on the printed form.
Social
Security Number: _________________________________________________
( Social Security Number is required by the
Arizona Department of Revenue in order to process your donation)
