Printable Mail-In Form

I want to donate to Second Harvest Heartland. I understand Get in Gear will match my donation (up to $10,000).

Name _____________________________________________________________

Street ___________________________________________  Apt # ____________

City _______________________________  State _________  Zip _____________

Telephone _________________________

Amount Enclosed $ _________________

*100% of your donation goes to Second Harvest Heartland... and Get in Gear will match your donation, dollar-for-dollar, up to $10,000.

Receipts are available on request.