Our Fallen Heroes Foundation

Mail-In Contribution Form

Please print, complete and return this form with your contribution to the address below.

My contribution of $ __________ (amount) is enclosed with this form.

Name:   ___________________________________________

Title:   ____________________________________________

Corporation:  ______________________________________

Street:   ___________________________________________

City:    ____________________________________________

State/Zip Code:  ____________________________________

Phone:  (       ) ______________________________________

If applicable, this gift is made in the memory of:

 ___________________________________________________

Please make your check payable to Our Fallen Heroes Foundation and forward your check and this form to:

Our Fallen Heroes Foundation

521 West Central Avenue

Winter Haven, FL 33880

Your contributions will go to support those families who have lost a loved one serving in the Armed Forces in the war against terrorism since 9/11/2001.

The Our Fallen Heroes Foundation is a 501(c)(3) corporation. Your contribution may be a tax-deductible gift.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 800-435-7352 WITHIN THE STATE OF FLORIDA. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. REGISTRATION NUMBER WITH THE FLORIDA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES: CH20224