Yes, I want to help the YMCA build strong kids, strong families and strong communities!

My tax-deductible contribution to YMCA World Service is:

$50   $100   $250   $500   Other $__________________

Name: __________________________________________________________

Address: ________________________________________________________

City: ________________________     State: ______     Zip: ______________

Telephone: ______________________________________________________

Email: __________________________________________________________

Comments/Special Instructions:

I would like to receive YMCA World Service news and updates by email.

Method of Payment

Check or Money Order (Payable to YMCA of the USA - World Service)

I have enclosed a check or money order for the full amount.

I have enclosed a check or money order for the partial payment of $____________. Please send me an invoice for the balance of my contribution.

Credit Card (Please note: Visa and MasterCard are the only accepted forms of credit card payment.)

Charge my: Visa    MasterCard

Cardholder Name: ______________________________________________________

Account Number: ______________________________________________________

Expiration Date: ___________________________

Signature: ____________________________________________________________

I am interested in donating stock. Please call me at the telephone number above to discuss.

Mail to:
YMCA of the USA
Attn: YMCA World Service
101 North Wacker Drive, 14th Floor
Chicago, IL 60606

Questions?
Please call a member of the YMCA World Service team at (800) 872 - 9622.

Thank you for your support. Did you know that your generous contribution may be eligible for a matching gift from your employer? To find out, please contact your company's personnel department.