CHOICE, unlimited
CHOICE, unlimited is a private nonprofit organization with 501 (c) 3 status regulated by the State of Minnesota Department of Human Services, and accredited by CARF for Employment and Community Support Services.  The organization receives its funding from St. Louis County, the federal Medical Assistance program, other public sources and private contributions.  Your gift may be tax-deductible. 

Name(s) ________________________________________________________________________

Address_________________________________________________________________________

City_____________________________________State___________________Zip_____________

Phone___________________________________E-mail__________________________________

I would like to support CHOICE, unlimited with a financial gift of:  

 $25		 $50		 $100		 $150

 $250 		 $500 		 $1,000 		 Other: _______________

Please use my contribution for: 

 CHOICE, unlimited Arts Program 		 General Operating Expense

 Community Program Memberships		

I would like to support CHOICE, unlimited with the following material gift:

__________________________________________________________________________________

My/Our gift is in honor or memory of: 

Name(s)__________________________________________________________________________


____Please contact me regarding endowment fund contributions 


Please complete form and return to:  
	CHOICE, unlimited 
	1829 East Superior Street
	Duluth, MN  55812

Creating and Having Opportunities in Community Environments
An Equal Opportunity Employer