If you would like to donate to the Clearfield-Jefferson Chapter of the
American Red Cross, please call the Chapter at 814-765-5516 in
Clearfield or 814-849-2712 in Brookville. You can also print this form and
mail your donation to:
Clearfield-Jefferson American Red Cross
1100 S. Second Street
Clearfield, PA 16830
Name______________________________________________________________
Address____________________________________________________________
City___________________ State______________________ Zip_____________
Phone Number (_____) _______-__________
Donation Amount $______________________
Payment Method:
____ Check
____ Visa
____ Master Card
____ Money Order