Please print this form and mail to the address below.

YES, I would like to help make Sweet Home a vibrant, livable community.  I will contribute:
_____$1,000      _____$500      _____$250 
_____$100         _____ $50       _____$25  Other: $________

I have a particular interest in:
_____ Quality of Life
_____ Health Issues
_____ Economic Development
_____ Special Projects
_____ Other

I am willing to volunteer my time to:
_____ Serve as a committee member
_____ Develop/distribute information
_____ Other

_____ I have remembered the SHCF in my will
_____ Please send information on how I can remember the SHCF in my will

Please make check payable and mail to:
Sweet Home Community Foundation
P. O. Box 447
Sweet Home, OR  97386

Name:____________________________________________________________
Address:__________________________________________________________
City: _______________________________State: _________ Zip:____________
Phone  (      )_______________________________________________________
FAX    (       )_______________________________________________________
E-mail_____________________________________________________________

FOR MORE INFORMATION CONTACT:
Bob Burford, President
541.367.5181

A nonprofit 501(c)3 Public Benefit Corporation
Federal Tax ID # 91-1826453