DONATION INFORMATION
Amount:
Donation Use:
Contribution In Honor or Memory of (optional):
Name and address of Individual to notify of gift (optional):
DONOR INFORMATION
First Name:
Last Name :
Address 1 :
Address 2 :
City:
State:
Zip:
Business Affiliation (optional):
Email:
Phone:

Fayette Senior Services, Inc. is a non-profit, 501.c.3 organization; therefore, your charitable contribution is tax deductable in accordance with IRS regulations. An acknowledgement of your donation will be mailed to you within 2-4 weeks upon receipt of your contribution. If you have any questions concerning donations, please contact Nancy Meaders, Chief Financial Officer, at 770-461-0813, ext. 116.