Donation Form

Mail Tax deductible donations to:

S-CAP
1301 S. 8th Street Suite 200
Colorado Springs, Co. 80906

Name__________________________________

Address________________________________

Address________________________________

Phone #________________________________

E-mail address___________________________

Amount of donation_______________________


We accept Visa and MasterCard as well as checks:

Name and billing address of the card holder

________________________________________________

________________________________________________

Card #__________________________________________

Expiration date____________

Thank you for your donation!

We'll return a tax receipt in the mail.

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