Giving by mail is easy!  Please fill in the Mail-in Form below, print it out and send it with your gift enclosed to the following address:

WCI - Work, Community, Independence
Director of Development
135 Beaver Street
Waltham, MA 02452


YES!   I want to support WCI and make a difference to Individuals to lead healthy and                safe lives.

Please choose a level of support from the following categories:
Chairman's Club    President's Club    Advocate          Patrons         Friends      Matching Gift
      (Gifts of $1,000 to $4,999)        (Gifts of $500 to $999)    (Gifts of $250 to $499)   (Gifts of $100 to $249)    (Gifts up to $99)  
Please check your preference below and enclose your donation payable to WCI.
Check or Money Order - Please make checks payable to WCI
Credit Card
Please charge my:     Visa          Mastercard          American Express
Name (as it appears on the credit card)
Account Number:              Expiration Date:
Tribute Giving
Gift in Memory of: 
Gift in Honor of:     
Gifts in Kind
Individual Donors:    
Corporate Donors:   
My Name:     
My Address:
Please send acknowledgement letter to:
Name:     
Address:
City:                     State:                 Zip: