1. ______ Yes! I’ll contribute tonight!
____ $15 ____ $25 ____$50 ____ $100 ____$250 ____$500 ____ $1000 ____Other
Check or cash attached: ________ Bill me: _________ Credit Card: VISA ______ MC _______
Credit card #: _____________________________________ Exp. date: ___________
Name on card: __________________________________________________________________________
Name (first, last): ________________________________________________________________________
Company: ______________________________ Title: __________________________________________
Address: _______________________________________________________________________________
City: ____________________________________________ State: _________ Zip: ___________________
Phone: _____________________________________ Email: ____________________________________
Welcome to the 23rd Annual
ROCKIN’ VIP CHALLENGE
FUND THE NEED 2013
Thank you for considering a donation to our annual United Way of the Desert campaign
to help everyone live a better life in the Coachella Valley.
When we reach out a hand to one,
we influence the condition of all!