Individual Contributions

www.camphearne.info

R O L L C A L L : F R I E N D S O F C A M P H E A R N E

I N D I V I D U A L F I N A N C I A L C O N T R I B U T I O N S

Roll Call's federal tax identification number is: 81-0568010.
Contributions to the non-profit 501(c)(3) Roll Call: Friends Of Camp Hearne are tax deductible.
Print this form, fill in the information, mail completed form along with your check or money order to:

Roll Call: Friends Of Camp Hearne
P. O. Box 346
Hearne, Texas 77859
rollcall@camphearne.info

(Make Check Payable To Roll Call; Keep A Copy Of This Form For Your Tax Records)

Circle Desired Funding Level

General: $500+	Captain: $75 - $149	Corporal: $10 - $24
Colonel: $250 - $499	Lieutenant: $50 - $74	Private: Less than $10
Major: $150 - $249	Sergeant: $25 - $49

Information About Yourself

Date Of Contribution: ______________________________________________________________

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Town/State/Zip: ____________________________________________________________________

E-Mail Address: ___________________________________________________________________

Comments/Other: __________________________________________________________________

THANKS FOR YOUR CONTRIBUTION!