WIMNN "Share the Light" Mentoring Program
                                        Sponsor Donation Form

Please print a copy of this form and mail to: WIMNN Mentoring Program, 31121 Mission Blvd-Suite 300, Hayward CA. 94544.  You can also donate by credit card and submit online.  Thank you for your support.

Sponsor Information:

Name  
Company Name  
Address  
City  
State     
Zip  
Country  
Phone Number  
Email Address  
FAX  
Web Site URL  

 

Donation Information:

All donations will receive a formal receipt and acknowledgement for tax deduction purposes.  Thank you for your sponsorship.  It is greatly appreciated.

What Your Donation Can Do! 

$250 will support one of our mentee-mentor relationships for an entire year 
$100 will help us recruit mentors through our corporate outreach program

$50 will support the promotion of our program to 10 individuals

$25 will help us promote our program to youth

Sponsorships: (Feel free to enter any amount you wish next to "other")

Please enter amount    $

Name/Company to appear on Receipt

Donation by Credit Card

I authorize a one-time amount of charged to the following credit card:

Type of Card   
Name on Card 
Card Number   
Expiration Date