Name: ____________________________________________________
Address: ___________________________________________________
City: _______________________ State: __________ Zip: ____________
Phone: ____________________________________________________
E-mail: ____________________________________________________
* Address of Honoree __________________________________________
____ I am interested in volunteer opportunities. Please contact me.
____ I am interested in obtaining a speaker from the CAC.
Please make your check payable to: Children’s Advocacy Center, Inc.
Return to:
Children’s Advocacy Center, Inc.
123 West Adams
Pittsburg, Ks 66762
Children’s Advocacy Center, Inc. is a 501 (c)(3) non-profit organization. All donations are very appreciated and tax deductible. |