Healthy Family Foundation

You can support the Healthy Family Foundation through your donation of time or money.

I would like to contribute to the Healthy Family Foundation and help make Coachella Valley's families strong.

Here is my contribution:

		My gift of $ . Please use this gift to help young children have a healthy start in life.
		My gift of $ . Please use this gift to help the Ophelia Project.
		My gift of $ . Please use this gift where it's needed most.

Name
Mailing Address
Suite, Apt. #
City
State/Province
Zip
Phone (evening)
Phone (daytime)
E-mail
Would you like to be added to our e-mail list	YES, add me to e-mail list

Payment Information: Check

Enclosed is my check made payable to "Healthy Family Foundation"

Please print this form and send to:
Healthy Family Foundation
73-555 San Gorgonio Way
Palm Desert, CA 92260

We are not able to accept credit card donations.