Donation Form PSHOF
Welcome to the PSHOF online donation form. We accept checks, Mastercard and Visa. Please fill out the fields. If you have any questions contact us at: 444 West Ocean Blvd., Suite 800 Long Beach, California 90802 Telephone: (800) 303-0131 Email: info@pacificshoresfoundation.org Executive Circle Platinum Level $50,000 and above $1,000 - $4,999 Philanthropist?s Circle Gold Level $25,000 - $49,999 $500 - $999 President?s Circle Silver Level $10,000 - $24,999 $100 - $499 Diamond Level Friend $5,000 - $9,999 $1 - $99
Name
Address
City
State
Zipcode
Phone
Email
Amount
In Memory or Dedication to
Comments
Credit Card #
Name on Card
Expiration Date