The Packard Motor Car Foundation
Printable Donation Form
All Donations are Tax Deductible under 501(c)(3) rules.
(Use your "print icon" on your browser or on your "File" menu to print this page.)
Name ___________________________________________________________________
Address _________________________________________________________________
City _____________________________ State ______________ Zip Code ____________
Overseas please provide Country _____________________________________________
Please consider a multi-year donation plan by check or credit card:
I/we would like to contribute $________ each year for ________ years and enclose
my/our first year's check in the amount of $_________ or credit card information below.
Or for one-time donations, I/we enclose my/our check in the amount of $___________ or
provide credit card information below:
By Check: payable to: The Packard Motor Car Foundation or
By Credit Card:
Fill in your Visa, MasterCard, Discover, or American Express
Card number: ________ ________ ________ ________ Expiration date: ____ ____
(mm) (yy)
Name and billing address on card must match the name and address for shipping, above.
and mail it to: Bruce Blevins, Treasurer
9157 Timberline Dr.
Grand Blanc, MI 48439-8334
All donors will receive The Proving Grounds News for one year, and all donations of
$100 or more will receive a confirmation letter suitable for IRS purposes.