East Coast Allred Family Association, Inc.
Donation Form

Please print clearly.

Name: _________________________________________

Address: _______________________________________


Phone: ________________________________________

E-mail: ________________________________________

(Please list e-mail if you have it because this is how most of our correspondence is sent.)


___ Fence Fund         Amount Enclosed ________

___ General Fund      Amount Enclosed ________

Make checks payable to:  East Coast Allreds

Mail checks and this form to Harlan Sexton 886 Westmont Dr. Asheboro, NC 27205-4262

The ECAFA is a 501(C )(3) non-profit organization.  All donations are tax deductible.

For ECAFA Use Only

Date Received:___________              Check No.:____________           Amount:_________