Print this form and mail it with your payment.
COMPAS is a registered 501(c)(3) charitable organization. Your gifts are tax deductible to the extent that the law allows.

Name__________________________________________

Significant other's first name ____________Significant other's last name _______________________

Address________________________________________

City/State/Zip___________________________________

Home Phone #: ( .....)___________________________ Email: _______________________________

Business Phone #: ( .....)_________________________ Fax #: ( .....)__________________________


How do you prefer to be contacted?  Home phone  Bus. phone  Email  Fax

GIFT AMOUNT (please circle or write in):
$1,000
$500
$250
$100
$75
$50
$_______________ Other

Do you or does your significant other work for a company with a matching gifts program?  Yes  No

Method of Payment:  Check  Money Order (payable to COMPAS - please mail form with payment)


Information Collection and Use:
COMPAS is the sole owner of the information collected on this form. We will not sell, share, or rent this information to others.

Send your gift to:

COMPAS
304 Landmark Center
75 West 5th Street
St. Paul, MN, 55102