WYOMING COALITION FOR THE HOMELESS

YES, I want to support the Wyoming Coalition for the Homeless programs. I can give in the following ways:

_____I will help with day-to-day expenses at the Welcome Mat Day Center- 907 Logan - this would include personal care and food items needed by clients, gasoline and Rx vouchers, bus tickets, assistance with ID, as well as utilities, internet and phone.

_____I will help with the construction of the Day Care Center opening soon in the WCH Richards Center - 4700 Ocean Loop. A total of $120,000 still needed for this project.

Other ____________________________________________________________________

Amount of Donation $_______________________________________________________

This is a one-time donation _____ a quarterly donation _____ a monthly donation _____

My donation is In Memory of: _______________________________________________

Sign me up now for 2009 Walk In My Shoes as a Ghost Walker ($12) _______________
We're trying to get into the Guiness Book of Records with the largest "non-event event" Sign up now!

Sign me up now for 2009 Walk In My Shoes as a Sponsor/Contributor ($50 +)_________

Yes, our SHOE STORE will contribute a % of sales during May 2009 to the Walk In My Shoes "non-event event!"

STORE NAME ______________________________________________________________
ADDRESS/PHONE ___________________________________________________________

Name_______________________________________________________________________
Address______________________________________________________________________
City__________________________________________ State_____ Zip________________
Phone (____) _____________________

Checks should be made out to Wyoming Coalition for the Homeless.

Please send completed form with your tax-deductible donation to:
Wyoming Coalition for the Homeless
907 Logan Avenue
Cheyenne, WY 82001-5247
307-634-8499

Check here if you wish to have a receipt mailed to you ________.

Thank you very much for your thoughtful gift!