How to contribute to FOCUS
Please print and fill out the form below to make a mail-in donation.
Anonymous donations also gladly accepted.

First Name:
_________________________________________
Last Name:
_________________________________________
Your email address:
_________________________________________
Street address:
_________________________________________
City:
_________________________________________
State / Zip Code

Payment Type (please circle):  Check  |  Money Order
Visa | MasterCard | American Express | Discover
Credit Card #:
_________________________________________

Expires: ________/________

Donation Type:
One-Time  |  Recurring  |  Monthly  |  Quarterly  | Annually
If you have selected "Recurring", please indicate monthly, quarterly or annually.
Donation Amount:
$10     $25    $35     $50    $100   $250    $500   $1,000    Other:________

Thank you for choosing to support FOCUS.
FOCUS is a non-profit organization and all contributions are tax-deductible.