Donation Form
Name:____________________________

Address:_________________________

City/State/Zip_____________________

Home Phone Number_____________________

Work Phone Number_____________________


Cell Phone Number_____________________

Please check your level of sponsorship:

_____Sponsor	$$1,000 to $2,499
_____Benefactor	$500 - $999
_____Donor	$$25 to $499
_____Contributor	Up to $25
_____Other	Anything else you would like to share

Total Enclosed

= $_______

Please mail this form with your checks to:

ECCAC.
425 E. Ross
Waxahachie, Tx 75165




THANK YOU!THANK YOU! THANK YOU!