Donate to West Central Community ActionHelp Us Enrich the Lives of Others

If you would like to donate to any of West Central Community Action's programs please fill out and print the form below. You can then mail the form and your donation to:

West Central Community Action
PO BOX 709
Harlan, IA 51537

Name:

Address:

 City: State:Zip:

Phone:

    Enclosed a gift of $
    *Make checks payable to: West Central Community Action

Please allocate my gift to the following program(s):

    CACFP    CCR&R    Emergency Food & Shelter    FADSS    Outreach Food Pantry    Head Start
    Early Head Start    LIHEAP    Senior Aides    Weatherization    WIC    Christmas Adoption

     If you would like to donate to more than one program, in the box below please type in the name of the programs and how you would
     like your donation distributed.

           

Please allocate my gift to a specific county:

    Cass    Crawford    Fremont    Harrison    Mills    Monona    Montgomery    Page
    Pottawattamie    Shelby

    If you would like to donate to more than one county, in the box below please type in the name of the counties and how you would
    like your donation distributed.

           

Thank you for your donation to West Central Community Action.

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