Printable Donation Form

Many friends of Penrickton Center for Blind Children prefer to send a gift in the name of a friend or relative who is deceased. And some use a gift to Penrickton Center to honor a person on a special occasion. The family of the deceased or the person honored is notified promptly, and you receive a grateful acknowledgement.

If you would like to do the same or just send a gift, please indicate your intentions on this printable form. Gifts of appreciated securities are welcome and may provide you with a tax advantage. Gifts are tax deductible according to law.

Please make checks payable to: Penrickton Center for Blind Children. We also accept MasterCard and Visa.


Enclosed is $In Memory of:

(name of deceased)

or In Honor of:Occasion:

(Birthday, Anniversary, etc.)

or I would like to make a gift of $ _______________

Send Acknowledgement to:

Name:

Address:

City:State:Zip:

Gift From:

Name:

Address:

City:State:Zip:

Visa/Mastercard #:Exp. Date:

Penrickton Center for Blind Children / 26530 Eureka Road / Taylor / MI /48180