Guide Dog Users of the Empire State Donation Form

Thank you for donating to GDUES. We appreciate your support.

First and Last name First and Last name First Last
Name of company, agency or business
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
How did you hear about us?
Comments?
Donation Amount
Please make checks payable to Guide Dog Users of the Empire State (GDUES)

Mailing address: GDUES
c/o Jim Pulsoni, Treasurer
53 Chestnut Street, Sleepy Hollow, NY 10591
Please contact information@gdues.org if you have any questions or problems with this form. Thank you for donating joining, or renewing with us.