Please print this form and mail to Water for Life Foundation,
or you can email us for more information
(don't forget to add your name address and phone #)

___ Make a grant to Water for Life Foundation.
___ I would like to give an additional gift to Water for Life Foundation.
___ Please contact me regarding making a gift of stock, life insurance or real estate.
___ Please contact me regarding leaving a gift through my will.
___ Sign me up for the Water for Life e-news mailing list (free to members)

I would like to contribute $__________.

Title:___________ First Name: __________________ Last Name:____________________

Business:_________________________________________________________________

Address: _________________________________________________________________

City: ___________________ State:________________ ZipCode:____________________

Phone Number: _______________Fax_____________E-mail Address:________________

Make checks payable to: Water for Life Foundation.