Usa Gymnastics Donation Form printable pdf download

National Gymnastics Foundation Donation Form

You can use the form below to make a donation targeted specifically to support one or more

of the program disciplines or collegiate programs.

☐ YES! I WOULD LIKE TO MAKE A TAX DEDUCTIBLE CONTRIBUTION TO THE FOLLOWING

NATIONAL TEAM(S)/PROGRAM(S).

Check the box (or boxes) of the programs to which you wish to donate and indicate donation amount.

Add your donation amount together and insert amount into “Donation Total” line.

Scholarship & Collegiate

☐ Men’s Scholarship Fund - $______________

☐ Trampoline & Tumbling Scholarship Fund - $______________

☐ Collegiate Programs - $______________

Other

☐ Nastia Liukin Fund - $______________

☐ Zimpfer Memorial Fund - $____________

☐ Acrobatic Fund - $______________

☐ General NGF Funding - $______________

Note: At present, the Rhythmic Gymnastics Program does not have a fund set up in the

National Gymnastics Foundation. If you wish to make a donation to this program you can do

so by contributing to USA Gymnastics instead of the National Gymnastics Foundation. These

donations are also tax deductible.

☐ Rhythmic - $______________

Cardholder Name (PRINT) __________________________________________________

Cardholder Signature ______________________________________________________

Address _________________________________________________________________

City, State/Zip ____________________________________________________________

Cardholder Phone (_____) _____ - __________ Email Address _______________

Card Number _______ - _______ - _______ - _______ Exp. Date ____/_______

Paying by Check # _______ (Check payable to National Gymnastics Foundation)

Donation Amount Total - $ ______________

You can fax this form with credit card information to USA Gymnastics at 317-237-5069

Or mail to:

USA Gymnastics

132 E. Washington St., Suite 700, Indianapolis, IN 46204

Usa Gymnastics Donation Form