Thank you for your interest in helping Variety's kids!

Please fill out the following information and submit your donation.

Variety Donation Form
Personal Information:		Please send me information on:
Name:
Address:		Volunteering
City:		Variety Program(s):
State:		Gift-in-kind Donations
Zip Code:		Planned Giving
Country of Residence:		Gifts of Stock
Home Phone:		Employer Matching Gifts
Business Phone:		Endowment
Email Address:
I wish to order Gold Heart Pins. My total payment is . Each gold pin is $2.00 (must order a minimum of 10 heart pins online)
My total gift in support of Variety is $
	Enclosed is my check of $ payable to Variety the children's charity.
	I wish to pledge $ to be paid in quarterly installments.
	My first payment of $		is enclosed.
	Please charge my gift of $	To my	which expires: Month: Year:
Card Number: CVV Number:
My gift is in: Honor of Memory of Please notify of this gift at this address,
Monthly giving is also an option. If you would like to set up a schedule for monthly giving, please fill out the following information. I would like to schedule repeat giving to Variety, The Children's Charity. I would like to have $ charged to the credit card listed above at the of every as a donation to Variety. I would like to have donation envelopes mailed to me on a basis. Comments:

You may print this page and mail it with your check or click submit with your credit card information. The official registration and financial information of Variety the Children's Charity may be obtained from the PA Department of State by calling toll free within Pennsylvania 1-800-732-0999. Registration does not imply endorsement. PA Act 202.

Thank you for your interest in helping Variety's kids!

My first payment of $