Secure Online Donations
Thank you for your support! Your gift makes a real difference in the lives of Alaska's youth. Just use the
form below to make your secure online donation, or print the form and mail it to: Camp Fire USA
Alaska Council, 161 Klevin Street, Suite 100, Anchorage, AK  99508. There is a minimum of $25
for online credit card donations. Required fields are in red.

1. Donation Information

$1,000   $500  $250   $100   $50   $25   Other $

Would you like this donation to be recurring?
No, charge this time only.
Yes, charge this amount every month for 12 months.
Yes, charge this amount quarterly for 12 months.

Donation Category

Does your place of business have an employer matching program?   Yes    No

2. Donor Information

I am particularly interested in the following areas:

Outdoor Programs  School-Age Child Care Community Centers Rural Programs

First Name:

Last Name:

E-mail:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Daytime Phone:

3. Payment Information

Credit Card VISA     MasterCard

Cardholder's Name:

Card Number: (no spaces)

Card Expiration Date: (mm/yy)