return to website Print Donation Form Fallen Officers Rally for Behind the Badge Foundation
The mission of Behind the Badge Foundation is to honor
the sacrifice of officers who have suffered a line of duty death or
catastrophically injury by:
•serving as the trusted resource to families and surviving officers
•providing immediate and ongoing support
•maintaining the Law Enforcement Memorial as eternal recognition and remembrance
for fallen officers
Donor Information (please print or type)
Name_______________________________________________
Address_____________________________________________
City_____________________________ State ______
Zip Code ___________
Telephone____________________________ E-mail_____________________________
Donation Information
I (we) are making this contribution in the form of: ____ cash ____ check ____
credit card ____ other
Credit card type: ____ Visa ____ Mastercard ____
American Express ____ Discovercard
Credit card number____________________________
Expiration date________
Name as seen on card _____________________________
Signature(s)__________________________________________
Date______________
Gift will be matched by __________________________
(company/family/foundation) ____ form enclosed ____ form will be forwarded
Acknowledgement Information
Please use the following name(s) in all acknowledgements: ____ I (we) wish to have our gift remain anonymous.
Please note my (our) donation in memory/recognition
of:_________________________________
Please make checks, corporate matches, or other gifts payable to:
Behind the Badge Foundation
PO Box 2047
Issaquah, WA 98027
(425) 747-7523
www.behindthebadgefoundation.org
Behind the Badge Foundation is a 501(c)(3) organization with a Federal tax
identification number of #91-1700108.