Donate By Mail

Print out and mail this form with your check to:

Further Shore, Inc.
P.O. Box 23518
Flagstaff, AZ 86002

Name: __________________________________________________________

Address: _______________________________________________________

City/State: ____________________________________________________

Zip code: ______________________________________________________

Email: _________________________________________________________

My donation is in loving memory of ________________________________________________.

I am making a donation in the amount of:
Friend – $25
Caring Friend – $50
Helpful Friend – $120
Supportive Friend – $240
Compassionate Friend – $375
Generous Friend – $500
Benefactor – $1,000
Other: $__________