DS/USA Logo Wounded Warrior Disabled Sports Project

Donation Form

 Wounded Warrior Disabled Sports Project Logo

 

Since March 2003, hundreds of U.S. service members have suffered a severely disabling
injury serving our country in Iraq – With your donation we can help them to develop their
abilities, to explore new horizons and not to let disability rule their life.

Whatever you feel you are able to contribute will help us reach our goals.
All donors who contribute $50 or more receive a one year subscription to
Challenge magazine and a DS/USA supporters pin

Instructions for form below: 
Please fill out completely, print, and if using a credit card, sign where indicated.
Please indicate your choice of donation:
$1000 "Sponsor a Soldier" ...............$500
$250           $100           $50            $ Other

 
Name       
Address:
City: State:  Zip: 
Email:     
Telephone (Day):  Telephone (Evening): 

Payment Information:

Enclosed is a check made payable to ‘Disabled Sports USA’

I would like to pay $ with my Visa    Mastercard    American Express
Name as it appears on credit card: 
Card Number Expiration Date

Signature ________________________________________________________

 

Please return completed forms to:

DS/USA - Wounded Warrior Disabled Sports Project
451 Hungerford Drive, Suite 100
Rockville, MD 20850                                           Fax: (301) 217 0968