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DONOR FORM
Name ______________________________________ Address_____________________________________ City _______________State _____ Zip ___________ Home Phone ___________Work Phone ___________ Email ______________________________
Mark your choice of contribution: o $1,000 Roof o $500 Framing o $250 Electrical /Plumbing o $100 Paint o $20 /Mo. Foundation o Equipment/Supplies ______________ o Professional expertise_____________ o Fundraiser _____________________ o Volunteer ______________________
Payment type: o Check # _______ $ _________ o Credit Card # ______________________ Expiration Date _______ Signature ____________________________
THANK YOU! please mail this form to the address below |
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