Mytinger Project Donation Form

Use the Print feature in your browser to print this page. Then complete the form and send it to:

Wings WorldQuest, Inc. / MYTINGER PROJECT
c/o Milbry Polk
P. O. Box 52
236 Route 9W
Palisades, NY 10964
 

Name: _______________________________________

Company: ____________________________________

Address: _____________________________________

City: _________________________________________

State: _____________________ Zip: _______________

Phone: _______________________________________

Email: _______________________________________

 

Contribution Amount (check or money order)

__ $50   __ $100   __ $500   __ $1000

Other Amount: _______________  (any amount is appreciated)

If you have any questions, please contact Michele or Karen (information on the Contact Us page). Thank you for your support!