I am making a: Donation Amount: Please direct my funds to: Where Need is Greatest Foundry Kelowna - Youth & Family programs Mobile Foundry Prefix: Dr. Miss Mr. Mr. & Mrs. Mrs. Ms. Pastor First Name: Last Name: Address: City: Province: Postal Code: - Email: Phone: Would you prefer to remain anonymous? No Yes I would like this gift to be: Honor/Memory name: Send acknowledgment to: Their Phone Number: Address: Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavat Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code: - Comment