Donation Form

Please fill out this form, print it, send it with your donation or other information to:

American Legion Post 384, 502 E. Penn St., Post Office Box 423, Hoopeston, IL 60942

Date:

Name: Phone Number:

Mailing Address:

City: State: Zipcode:

E-Mail Address:

Direct Donation - Please enclose your check.

Would you like this donation to be used for something specific:

Memorial

Name of your loved one:

Would you like this memorial to be used for something specific:

Bequest

Date you added the bequest to your will:

Amount of bequest:

Would you like this bequest to be used for something specific: