USO of North Carolina Donation Form and Instructions

To print a blank form and fill it out by hand, simply use the print button on your browser,
or fill out the form by typing into your browser, then use the print button to print the completed form.
Please sign and mail the form, along with your tax-deductible contribution, to the following address:

USO of North Carolina, Inc.
P.O. Box 298
201 New Bridge St
Jacksonville, NC 28541

Your name:

Your address:

City: State: Zip Code: -

Phone Number: - -

E-mail Address:

Enclosed is my TAX-DEDUCTIBLE contribution of $

To give by credit card, please fill out the following:

Type of Credit Card: Visa Mastercard
Credit Card Number:
3 digit security code:
(found on the back of your card, after the credit card number)
Expiration date: Month- Year-

Your signature ___________________________________
signature required with credit card donations

Yes, my organization would like more information on becoming a USO Associate for Business.
Yes, I would like to receive your monthly newsletter by e-mail.
I would like more information about giving donations in-kind, such as phone cards, food, supplies, etc.