To make a tax deductible donation, print out this form and mail a completed copy
to Boys & Girls Clubs of America at the address referenced below.

A contribution of $_____________________________________

Method of Payment:
 Check/Money Order Payable to:

Boys & Girls Clubs of America
Resource Development
1275 Peachtree Street  NE
Atlanta, GA 30309-3506
Phone:  404-487-5700
Fax:  404-487-5825

 Charge My American Express or Other:

Card Number ______________________________
Exp. Date _________________________________
Cardholder ________________________________

Send me additional information on how I can support Boys & Girls Clubs through:

 Bequests
 Charitable Gift Annuities
 Charitable Remainder Trusts
 Life Insurance
 Appreciated Stock
 21^st Century Endowment Fund

Name: _________________________________________
Address 1: ______________________________________
Address 2: ______________________________________
City: ___________________________________________
State, Zip Code: __________________________________