___ Yes, I want to help Arizona Voice for Crime Victims protect the rights of crime victims!

Enclosed please find my contribution of:

$5,000: ____ $2,000: ____ $1,000: ____ $500: ____ $100: ____ Other:_____

Please make checks payable to: Arizona Voice for Crime Victims.

Please complete, print and mail this form to:

Arizona Voice for Crime Victims

P.O. Box 12722

Scottsdale, AZ  85267

All gifts to this IRS 501(c)3 organization are tax deductible to the extent allowed by law. 

Name: ______________________________________________________

Spouse’s Name: ______________________________________________

Company: ___________________________________________________

Title: _______________________________________________________

Mailing Address: ______________________________________________

Address (cont.): _______________________________________________

City, State Zip: ________________________________________________

Phone (H): _____________________________________________

         (O): ____________________________________________

         (F): _____________________________________________

E-mail: ________________________________________________

Web address: ___________________________________________

 

___ Yes, please include my name on your list of donors.

___ No, please Do Not include my name on your list of donors.

NOTE: AVCV DOES NOT SHARE, LOAN, SELL OR EXCHANGE ANY INFORMATION ABOUT OUR DONORS.