Donation Card

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I Wish to Contribute:

Roosevelt Rough Riders – Boy Scouts of America PO Box 14042 * Tempe, AZ 85284-0068 * (602) 549-5585

Please check  the giving level of your choice

___$2,500 Lifetime Membership ___$1,000 ___$ 500 ___$ 250 ___$ 100 ___$_______ Other Amount

I hereby express my desire to participate to preserve the tradition and values of Theodore Roosevelt through financial support to the Boy Scouts of America to maintain and improve the equestrian facilities and program at the Scout Camps allowing today’s Scouts to experience our western heritage through horsemanship through the Roosevelt Rough Riders.

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City, State & Zip Code Credit Card Number:

(circle one)

Visa

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Expiration Date (MO/YR)

Date

Matching Gift List employer name and we’ll contact you about completing a corporate gift application.

Check (Payable to RRR – BSA) Charge my Credit Card Cash Bill Me Billing Cycle

 Annual

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Official Use Only: Campaign RRR Enroller

Payment Method: (Please, check  one) ___ ___ ___ ___

Kevin Ward

 Semi–Annual Thank You!

 Quarterly