General Donation Form

Donor: _______________________________________________

Address: ______________________________________________

City: _________________________________  State:___________ Zip: ______________

Phone #: __________________________________

Email: ___________________________________________________________________

____________________________________________________________________________________


Enclosed is my gift of $________________

I want to pledge $______________ for ____________months. Please bill me.

Please direct my donation to:  _____Endowment Fund  _____General Fund  _____Captial Improvements

 or  _____ Memorial or Special Tribute in honor of:__________________________________________

____________________________________________________________________________________


Make checks payable to:
  National Orphan Train Complex
  P.O.. Box 322
  Concordia, KS 66901
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