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Donor Information
Individual   Corporation   Community/Civic Group or Foundation  
Donation Amount
$1,500 could help care for a family for over two weeks
$1,000 could help care for a family for 10 nights
$700 could help care for a family for one week
$500 could help care for a family for five nights
$250 could help provide a meal for 78 guest families
$100 could help keep our pantry stocked for one week
$50 could help purchase the supplies we need to make our House a home
$25 could help provide toiletries and amenities for our families
Other $  *

All donations will be used for general operating support to cover the cost of caring for our guest families.

Donation Frequency
As a one-time donation   Monthly   Every three months   Every six months
Method of Payment
Credit Card   Electronic Check
Visa MasterCard American Express
Donation Type
General Donation
Memorial (in memory of)
Tribute (in honor of)
Holiday Gift (Mother's Day, Father's Day, Christmas, Hanukkah, etc.)
Red Tie Gala
Golf Classic
Additional Comments or Special Instructions

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