Genesis Youth Center - Clarksburg, West Virginia

Donations

I: Your Information

Name:

Company Name:

(if applicable)

Address:

City:

State

Zip:

Office Phone:

Home Phone:

Email:

II: Your Pledge

Pledge Amount $

Pledge to be paid by (format: mm/dd/yyyy)

Pledge to be paid in installments over months (up to 12)

Pledge to be paid in installments over years (up to 3)

III: Your Gift

My gift will be in the form of:

Stocks, bonds or other securities

Life insurance

Real Estate

In-Kind Donation

Other

IV: Your Designation

Designation:

General Operating Fund

Special Program

Capital Campaign – “Building Lives Through Change”


	"The days we spent at camp were the best days I had with Genesis!" Kenny, Age 16, GYCC Camp 2007

Letter from the Executive Director | Programs | Services | Directions | Capital Campaign | Board of Directors | Download | Contact Us | Get Involved | Home Page

This facility is funded in part under an agreement with the BUREAU for CHILDREN and FAMILIES, WV Department of Health and Human Services.

Genesis Youth Center, 535 Horner Ave., PO Box 546, Clarksburg, WV 26302 • 304.622.1907 • 1-877-GYC4-KIDS • F 304.623.9346 • pr@genesisyouthcenter.com