Make a Donation to Rubin for Kids
(Please print out this form.)

I would like to make a tax-deductible contribution to help support successful
Youth in Our Community.

Name:
Address:
Phone:
Email:
Donation Amount:

Please send this form and a check or money order made out
to "Rubin for Kids," to:

Rubin for Kids
PO Box 1405
Madison, WI 53701

Thank you for your contribution!