Upland Police Foundation Donation Form 


YES!
I want to support the Upland Police Department by donating to the Upland Police Foundation.
 
Please select one of the following
categories for the Annual Donor Wall:
_____ Donor $5 to $49
_____ Supporter $50 to $99
_____ Friend $100 to $249
_____ Sponsor $250 to $499
_____ Benefactor $500 to $999
_____ Founder $1000 and up
_____ Life-sustaining Member $10,000 in a ten year period

Please print how you would like your name to appear on the donor wall: (25 letters maximum)

__________________________________________________________

Please print the following information and mail it to: Upland Police Foundation
c/o Upland Police Department
1499 West 13th Street
Upland, CA 91786
 
Name:_______________________________________
Address:_______________________________________
City, State, Zip:_______________________________________
Day Phone (optional):_______________________________________