Mail In Donation Form

Fill in the form below, then use your web browser controls to print this page and mail to:

        YDI Foundation
        P.O. Box 25046
                          Albuquerque, NM 87125

Please Note: This form page is not a secure website. It is intended for 
                        prospective donors to fill in required information for         
                        printing and mail in purposes only!                                        

1. Donation Specification

Donation Amount:   $  (Min. $5.00)

Designation*:

*Please designate a program for your gift.
2. Donor Information**
Full Name:

Organization:

Street Address:

City:    State:   ZIP:

Telephone #:      E-Mail Address:

**Please verify that your name/address are correct for proper preparation of tax receipts.

3. Credit Card Information***

Name on Card:

Card Type:

Account Number:    Expiration Date:    

Billing Address:

City:    State:   ZIP:

***For credit card donations only;     If you are paying by check, please make checks payable to "YDI Foundation"

YDI Foundation is charitable, non-profit 5.0.9(a)(3) organization that is eligible to receive tax-deductible contributions from individuals, foundations and corporations. All donations made to the YDI Foundation will be acknowledged with a receipt for donors’ income tax reporting purposes.