Lifesavers Match Campaign Form

For checks, stock, IRA, advised fund, other - arriving after November 14

(To use a card, instead, please find the appropriate form at ) Thank you for pledging support through the Lifesavers Match Campaign! If your gift will arrive after November 14, please complete the form below so that it can be counted in advance, as a pledge for the Matching Challenge. To pledge multiple quarterly or annual payments, please note your schedule, and your entire pledge amount will be eligible for the match. 

Mailing Address & Information

Donate Life Northwest
PO Box 532
Portland, OR 97207
IRS ID 93-0867552 (Donate Life Northwest is a a 501(c)3 charity)
Stock Transfers:  DTC: 0701 (Cetera / CB Financial) Account: 2AZ17932 (Donate Life Northwest, IRS ID 93-0867552)