Corporate Volunteer Event Payment

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Please Note

100% of contributions are tax-deductible. You will receive an acknowledgment receipt/letter in the mail to keep for your records.

Company or Organization*

Representative Name*

First Last

Representative Position

E-Mail Address*

Phone*

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please describe the event you wish to contribute toward*

Proposed Event Date

Once selected, volunteer activities must be planned 4-6 weeks in advance. If you're unsure of the date, leave blank.

Volunteer Event Contribution

This contribution helps provide the resources and staff needed to ensure the event runs successfully.

Price:

Additional Contribution

Check here if you wish to make an additional contribution to VISIONS, outside of this volunteer event

Additional Donation

Total

I Will Pay By

Credit/Debit Card/PayPal

Check

Important Information

Please make your check payable to VISIONS, and mail to:

VISIONS, Attn: Ann Deshazo
500 Greenwich Street, 3rd Floor
New York, NY 10013

Please indicate name of event and what your payment is for.

Checks must be received within 15 business days submitting this form.

Check If You Agree to the Following*

I understand and agree to the above terms, and will mail my check no later than 15 days after submitting this form.

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Different Billing Address

Check the box below if the billing address is different than the attendee's address listed above. This helps to ensure all tax documents are sent to the right people. If the billing address is the same, leave the box unchecked.

Different Billing Address

Billing Address - Name*

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code