Coalition to Prevent Hunger  

                Membership Form - Complete, print and mail with your tax deductible contribution. 
 

How did you learn about VIC’s Preventing Hunger campaign?

Individual Membership:

   $25     Other

Business Membership:

   $100           (10 or less employees)
   $200           (11-50 employees)
 
  $250           (51-100 employees)
   $500           (101-500 employees)
 
  $1000         (500+ employees)

Corporate Foundation Membership

$1,500    $2,500     Other  

 Community Service Organization Membership

  $150      $250       Other  

 Religious Congregation Membership:

  $50      $100      $250
 

  Would you like become a Preventing Hunger Coalition Volunteer?
  Contact me to schedule a presentation to our members about how they can help prevent hunger in the Valley. 
  I can donate advertising space to publicize VIC’s Preventing Hunger campaign.
  Contact me about conducting a food drive at our business/congregation.
  I can publicize VIC’s Preventing Hunger campaign in our newsletter.  Please provide me with the copy to insert.
Contact me to schedule a presentation to my employees/members about how they can  help Prevent Hunger in the Valley.
We offer a matching fund program when employees contribute to their charities.  Contact me for more information.

 

Company/Organization:
Name: 
Address: 
Telephone:
Email:
Visa/Mastercard
Accepted - Card #
Total Amount:
Expiration Date: MO/YR

 Signature:_______________________________

Make checks payable to:  VIC

                             Mail to:        VIC
                                                 10824 Topanga Canyon Boulevard, #7
                                                 Chatsworth, CA  91311