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Instructions for Donation MAIL IN FORM

Mail or deliver completed form to:

Nevada Homes for Youth
525 S 13th St. - Dept ORG07
Las Vegas, NV 89101-7203

1. Please completely fill in this form
2. Print form for your mailing to us,
3. Next click on submit.
4. Close window after submission.
5. Fields marked with (*) are required.

I wish to donate
$35.00 $50.00 $100.00 $500.00 $1000.00 $2500.00 $5000.00 Other Amount	How Often
My Gift is designated to
Corporate In Memory of Anonymous	Designate to
My Information
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Email Address *
Introduction * How did you find us?
Send Receipt	By Email By Mail
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