Corporate Donor Form

Company Name: 
               Contact: 
              Address: 
   City, State, Zip:  , ,
Phone:    FAX: 
E-mail: 

Amount of Donation:  $250 - $500 - $1,000 - $2,500 - $5,000 - $10,000 - $25,000

Check (Make payable to NWSA, 98 Washington St., Marblehead, MA 01945)

VISA  MASTERCARD  #  EXP. Date: 

Name on Card: 

Print this page and mail to the above address or fax to :
NWSA 
c/o 26 Beach Road
 Hingham, MA 02043
Telephone:  401-682-2064    Fax: 781-740-4363
E-Mail:  wsf@womensailing.org