Habitat for Humanity of St. Joseph County
DONATION FORMChecks, Visa, and MasterCard accepted.
Donation Amount:______________
Your Information:
Name:__________________________________
Address:____________________________
____________________________
City:____________________________
State:____________________________
Zip:____________________________
Phone Number:____________________________
E-mail:____________________________
Would you like to subscribe to Habitat for Humanity of St. Joseph County's quarterly Newsletter?
___ Yes ___ No
~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~
Habitat for Humanity of St. Joseph County will honor all donations made in memory or
in honor of individuals and groups with a gift announcement mailed to
your designee. To designate your donation, please complete the following:____Honorarium ____Memorial
Name of Honoree: ____________________________
Please mail acknowledgement card to:
First Name:____________________________
Last Name:____________________________
Address:____________________________
City:____________________________
State:____________________________
Zip:____________________________
Phone Number:____________________________
E-mail:____________________________
Please allow 8-10 working days for your acknowledgement card to reach its
destination.~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~
If donating by credit card, please enter the following information as it
appears on your credit card:Name:____________________________
Credit Card Number:____________________________
Card Expiration:____________________________
~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~+~
If paying by credit card you may fax this completed form to: 574.289.1954
OR if paying by check or credit card, mail to:Habitat for Humanity of St. Joseph County
402 E. South Street
South Bend, IN 46601-2416Please do not hesitate to call us if you have any questions: 574.288.6967