There are 4 ways to submit a donation! Thank you in advance, every little bit helps!

1. Call us at 319-533-1580 and we'll take your information over the phone.
2. Complete the downloadable form, print it and fax it to 319-378-5945
4. Complete the downloadable form, print it and mail it to:

US Bank
C/O Rock to the Rescue
5321 Council St. NE
Cedar Rapids, IA 52402
OR
Andrea Politte
C/O State Beauty Supply
5400 Center Point Rd. NE, Suite B
Cedar Rapids, IA 52402

4. Complete the Donation Form. A representative will call you to get your credit card information.

A Donation of $5 or more and you will be mailed an Official New York/New Jersey Commemorative Uniform Pin	A Donation of $10 or more and you will be mailed an Official New York/New Jersey Commemorative Uniform Patch	A Donation of $20 or more and you will be mailed an Official New York/New Jersey Commemorative Uniform Hat (ball cap style) and your choice of a Pin or a Patch
Plus with each donation, you'll be automatically entered to win prizes. Adding prizes daily. Grand Prize is a 26" 21-Speed Dual Suspension Mountain Bike. Other prizes include Styx t-shirts and REO Speedwagon r-shirts,

Name:
Address:
City, State & Postal ZIP
Daytime Phone:
Evening Phone:
E-Mail Address:
Preferred Method of Contact:	Daytime Phone Evening Phone
A Donation of $20 includes a hat and your choice of Pin or Patch. If you are donating at least $20, which would you prefer with your hat?	Commemorative Pin Commemorative Patch Please Send Nothing
Billing Information (As it appears on your Credit Card Statement)
Name:
Billing Address:
City, State & Postal ZIP
Billing Phone:
Donation Amount:
*Someone will reply to you as quickly as possible once we have received your donation request.