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: _________________________________________