Please make checks payable to “Greenwood House” We accept the following credit cards: o Visa o MasterCard o Amex Please fill in your card information below or call Paula Levinsky at (609) 883-5391, Ext. 393. Credit card number: _________________________________________ Expiration date: _______________ Security code: _______________ Signature: ______________________________________ Name as it appears on the credit card: ____________________________________ Billing address (if different from above) Address: ______________________________________________________________________________________________________________ City: ______________________________________________________________ State: ____________ ZIP: ______________________________ If your message/ad includes text, please print it on the lines below (25 words or less). ____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ Sponsorships of $1,800 and above are tax deductible, minus the gala dinner value of $175 pp. Purchased messages/ads up to $720 are fully tax deductible. Thank you for your continued support and generosity.