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WilPower, Inc.

444 Frontage Road

Northfield, IL 60093-3009

Administrative Office Phone: 847-501-2939

Administrative Confidential Fax: 847-716-4803

Program Staff Phone: 847-501-4718

If you have questions about any of our programs please call our Intake Coordinator at (847) 386-3060

You may e-mail us by clicking here with questions or to request information on our programs.

If you'd like to make a contribution now, please print the form below and mail/fax it to us with your credit card information or check made out to WilPower, Inc.


Name
Address
City	State	Zip
Email
Phone:

$1,000	$500

$250	$100

$50
Other Amount:
ANY AMOUNT, LARGE OR SMALL, IS GREATLY APPRECIATED
Payment: Visa MasterCard Am. Express Check Card Number__________________________________Expiration Date__________
This gift is: a general donation. in memory of (Type name here) in honor of (Type name here) on the occasion of (Type name here) Please notify this person of my donation: Name: Address: City: State: Zip *WilPower, Inc.* is an Illinois not-for-profit 501(c)(3) corporation. Contributions are tax deductible as provided by law.



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