 |
 |

Courageous Women, Fearless Living
Scholarship Fund
|
Thank you for supporting the Courageous Women, Fearless Living Scholarship Fund.
Grappling with cancer is one of life's greatest challenges. We may become quite ill, lose our ability to function normally, or lack sufficient emotional or financial support. Your invaluable donation makes it possible to extend the opportunity for a truly transformative experience to someone who may not otherwise be able to attend.
Led by an extraordinary team of experts in the field, Courageous Women, Fearless Living provides guidance and companionship while integrating body, mind and heart, to discover ways to meet all of these experiences directly and courageously.
Your donation makes it possible to extend the opportunity for a truly transformative experience to someone who may not otherwise be able to attend. We sincerely appreciate your generosity.
|
If you have any questions or comments about this initiative. please contact us at
(970) 881–2184 ext. 379 or developmentdirector@shambhalamountain.org.
|
|
| Please apply my donation to help: |
|
| I would like to donate: |
Other $
(no decimals) |
|
Donor Contact
Information |
| First Name |
* |
| Last Name |
* |
| Address |
* |
|
|
| City |
* |
| State/Province |
* |
| Zip/Postal Code |
|
| Country |
* |
| Home Phone |
|
| Work Phone |
|
| Email |
|
Please acknowledge my gift as follows:
(include your name with a
partner/spouse, company name, etc.) |
*
|
|
|
For the sake of our matching gifts
program, what company do you and/or your partner/spouse work for?
|
| Comments or Suggestions |
|
| |
Payment Options |
If you are paying via credit card: |
|
| |
If you are paying by check, money order, or
automatic bank withdrawal,
please print the form and send to the address
below along with your payment. Canandian donors, please make checks
payable to "Shambhala International". All other donors, please
make checks payable to "Shambhala Mountain Center"
Automatic Bank Withdrawal:(please
enclose a voided check) (Small italics)
I hereby authorize my bank
to charge my account each month and pay to the Center the amount
shown in accordance with the terms and contions indicated. I understand
the elecetronic trnsfer of funds will contnue unless I notify
Shambhala Mountain Center in writing that i wish to terminate ABW.
Signed ________________________________________ Date ___________________
Address for mailing printed form:
Shambhala Mountain Center
Office of Development
4921 County Road 68C
Red Feather Lakes, Co 80545
Thank you for your donation.
|