Donation Form
![Donor Information](../make-a-wish-luminate-donate/images/offline-gift-form/donor_information.png)
Name:
Phone:
Address:
City:
State:
ZIP:
Email Address:
![Contribution Information](../make-a-wish-luminate-donate/images/offline-gift-form/contribution_information.png)
▢ Check/Money Order
Amount Enclosed: $
▢ Credit Card (please check card type)
▢ Mastercard®
▢ Visa®
▢ Discover®
▢ American Express®
Credit Card #:
Expiration:
Name:
(as it appears on credit card)
CVV Number:
(3-digit security code on back of card)
![Designation](../make-a-wish-luminate-donate/images/offline-gift-form/mailing-address.png)
Please mail donations to:
Make-A-Wish® Greater Pennsylvania and West Virginia, Inc.
The Gulf Tower 707 Grant Street, 37th Floor
Pittsburgh, PA 15219-1938
The Gulf Tower 707 Grant Street, 37th Floor
Pittsburgh, PA 15219-1938
Please mail donations for another chapter or Make-A-Wish America to:
Make-A-Wish America®
Gift Processing Center
Gift Processing Center
1702 E. Highland Avenue
Suite 400
Phoenix, AZ 85016
Suite 400
Phoenix, AZ 85016
To make a donation to a Make-A-Wish® affiliate outside of the U.S., please visit www.worldwish.org.
If you'd like to donate via donor advised fund, please reach out to your financial advisor or your local Make-A-Wish chapter.
![Contribution Information](../make-a-wish-luminate-donate/images/offline-gift-form/honor-memorial.jpg)