Making Donating Easy

Gimme 5!! 

I want to help but how do I donate?

First, we at Moose Charities want to thank you for your kindness and generosity.

Donating to this project will help to ensure that we are able to continually care for our

children. There are several ways you can donate to the program. Please review the

following suggestions and if there are any questions please contact Moose Charities at

630-966-2200.

Ways to Give…

1. At the international convention you can visit the Moose Charities booth and

donate using cash, check, or charge.

2. You can mail Moose Charities cash or a check at any time. Please send donations

too: Moose Charities, 155 S International Dr., Mooseheart, IL 60539.

3. Call Moose Charities at 630-966-2200 and donate by providing credit card

information over the phone.

4. Visit the Moose Charities website at www.moosecharities.org and make a secure

online donation.

5. Fill out the attached form to sign up for direct debit. You can drop the form off at

the Moose Charities booth at International Convention or you can mail the form

to Moose Charities at Moose Charities, 155 S International Dr., Mooseheart, IL

60539.

Important Things to Know!!

1. Donations made to the Gimme 5 project are segregated from all other

donations to ensure that they are not used for any other purpose.

2. When donating to the Gimme 5 project please specify in your donation

that the funds are to be used for Gimme 5.

Gimme 5!!

Direct Debit Application

Help us raise money for Mooseheart and Moosehaven by enrolling in our Direct Debit program. How does this

program help? Processing a direct debit costs Moose Charities significantly less than processing a check. Of

course, we value all donations but the more we save the more we can offer to our children. Best of all this

service is completely free to you and can be cancelled at any time. You are in total control and you are making

a huge difference in the lives of those who the Moose have promised to care for. Thank you for your generosity.

Applying for Direct Debit is as easy as 1, 2, 3:

1) Complete and sign this Direct Debit Application.

2) Return it with a blank check marked “VOID” to: Moose Charities, Inc

155 S. International Dr.

Mooseheart, IL 60539-1100

3) You will receive a letter from Moose Charities confirming that your Direct Debit Application has been

received. Please allow 4-6 weeks for your enrollment to be processed.

Yes, I want to enroll in Direct Debit. I hereby apply to participate in Moose Charities Direct Debit Program. When

approved, this is my authorization to participate in this option as long as I continue to meet the applicable requirements.

I understand my participation requires deduction from my designated checking or savings account. In order to

terminate participation at any time, I will send a notification in writing to Moose Charities at the above address or will

contact Moose Charities at the number listed at the bottom of this form.

Signature______________________________________________________Date___________________

Name (please print)___________________________________________ Moose ID #________________

Home Telephone No.________________________ Work Telephone No.__________________________

Street address______________________________ City___________________ St.____ Zip___________

�� Checking (Please include a voided check. Do not send a deposit slip.)

OR

�� Savings Routing No._____________________________ Account No._________________________

Name of Bank_________________________________________________________________________

Please choose payment method:

�� Monthly deduction of $2.80 (Indicate day of Month_____________)

�� Annual deduction of $36.50 (Indicate Month/Day_____________)

�� One-time deduction of $182.50 (Indicate Month/Day/Year_____________)

Please Note: If you change banks after setting up Direct Debit, you will need to fill out and submit a new Direct Debit

Application. If you have any questions, please call Moose Charities at (630) 966-2200.

For office use only:

DATE RCV’D______________ ENTERED BY: _________________________________________

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