I Want to Help!

We welcome your involvement. Let us know how you can help.

by mail: print this form and return the completed information to:

by e-mail: click here to send us a message

_____ Enclosed is my check for:

  ___ $500 ___ $250 ___ $100 ___ $50 ___ $25 ___ Other

_____ I will donate art supplies and materials. Please contact me.

_____ I am interested in volunteering at Art with a Heart programs. Please contact me.

Your Name: _________________________________________________________

Street Address: _______________________________________________________

City: ________________________ State: ________________ Zip: _____________

Daytime Phone: (_________) ___________________________________________

e-mail: ________________________@_______________________.____________