To Donate to Grobanites For Charity VIA Check/Money Order-

1
2

3b=Button
3m=Magnet

4b=Button
4 m=Magnet
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GOLD STAR DONATION NOTE!

- If you donate by check to the GOLD STAR Project, your check MUST be received by February 28 in order for your Gold Star to be posted!
- Please add in comments section the specific name you would like listed with your message along with your birthday message of 30 words or less.
- For the GOLD STAR Project your posted birthday message and raffle drawing entry will be in lieu of a button

  1. Fill out the form below, the starred (*) fields are required.
  2. Print a copy of the form and save it for your records before submitting it.
  3. Make your check or money order payable to "Grobanites For Charity" ($10 minimum to receive a button or magnet).
  4. Mail your payment promptly to:

GFC
P.O. Box 52828
Riverside, CA  92517-52828

Thank you for your donation to Grobanites For Charity!

If desired, please indicate which project you'd like to donate toward. (If no preference is listed, your donation will go towards The Josh Groban Foundation general fund.)

Donation Amount: *

Button/magnet choice- Enter "1", "2", "3b", "3m", "4b", "4m", or "none" if elect for no button or magnet: *

E-Mail Address: *

Full Name: *

Mailing Address
(Street address
City, State Zip) : *

Comments?:

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