Yes, I would like to get involved today, and make a tax-deductible contribution to
		Horry County Crime Stoppers. Please make my gift in the name of:

			 Business		Civic Organization		Individual

	Name_______________________________________________________________________
	Mailing Address______________________________________________________________
	City___________________________________State________________Zip______________
	I have enclosed $_________________Daytime Telephone________________
	I would like a representative from Horry County Crime Stoppers to speak to my group.
	(Y   or   N)
			Please make checks payable to:		Horry County Crime Stoppers
			and send to:				c/o Conway Chamber of Commerce
		  	For More Information,			2560 N Main St. Suite 7
			Please Call (843)248-5000		Conway, South Carolina 29526