Make-A-Wish

Name:

Phone:

Address:

City:

State:

ZIP:

Email Address:

▢ 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)

Please mail donations to:

Make-A-Wish® Southern Florida, Inc.
343 NW 6th St
Miami, FL 33136

Please mail donations for another chapter or Make-A-Wish America to:

Make-A-Wish America^®
Gift Processing Center

1702 E. Highland Avenue
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.