Please complete this form, print the screen and submit with your check/credit
card payment. Thank you very much!
I would like to make a contribution to Village Treasure House. Please send this form and payment to Village Treasure House, 1825 Glenview Road, Glenview, IL 60025.
Choose one of the following options:
Amount of check I will send
Amount to charge to my credit card
Visa or MasterCard Account Number?
Visa or MasterCard Expiration Date?
-- mm/dd/yy
Enter your signature in the space provided below.
Please provide a daytime phone number:
Home Phone
Please provide the following contact information:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail
Village Treasure House
Revised:
01/12/06
Send mail to
VTH Webmaster with
questions or comments about this web site.
Last modified: 02/15/08
