Step #1   Donation and/or Raffle ticket request
    ***You can either fill out this form or send a check to the address provided below.***
    Please enter any donation amount in the box below:
     
Step #2   Please Enter Your Personal Information
     
    Donation Information
First Name:  
Last Name:  
Company:  
Address 1:  
Address 2:  
City:  
State:  
Zip Code:  
Country:  
Day Phone:  
Evening Phone:  
Mobile Phone:  
Email Address:  
Confirm Email:  
     

Comment/Notes:

Indicate "Raffle" if buying tickets.

  
     
Step #3:   Payment Information
     
    You can either send a check to the below address or pay via PayPal. Paypal dialogue box will appear after you hit the "Submit Your Donation" box below.

Checks payable to "Friends of Dan Heffley"

           Friends of Dan Heffley
           6911 Perrysville Ave
           Pittsburgh, PA 15202
     
    Payment forms accepted
           
    ***If you are purchasing raffle tickets simply multiply the quantity by $5 /ticket.*** We will mail the tickets to you.
Donation Amount:     US Dollars
    This payment will referenced as "Friends of Dan Heffley" on your credit card statement.
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