Donation Form For "Habitat Holiday Store"

 

Please Print Clearly or Type

 

Your Name:_____________________________________________

Your Address: ___________________________________________

Your City, State and ZIP: __________________________________

Your Telephone Number: __________________________________

 

Total Amount Donated:_____________

 

Please make checks payable to: Habitat for Humanity Haywood County

(minimum of $10.00 per name listed below)

 

Donations in the following amounts represent the following items:

• $10             a box of nails
• $25             a gallon of paint
• $50             two bundles of shingles
• $75             an interior door
• $100           a window

 

IF YOU WISH FOR HABITAT TO MAIL ACKNOWLEDGMENT(S),

Please complete the following and return to any bank office in Brownsville or mail to Habitat For Humanity PO Box 403 Brownsville, TN 38012 by December 15.

 

1.   Donation in the Name of ____________________ for ___________________

Please acknowledge to:

Name:____________________________________________________________

Address:__________________________________________________________

City:_________________________________State_________Zip____________

        

2.   Donation in the Name of ____________________ for ___________________

Please acknowledge to:

Name:____________________________________________________________

Address:__________________________________________________________

City:_________________________________State_________Zip____________

 

3.   Donation in the Name of ____________________ for ___________________

Please acknowledge to:

Name:____________________________________________________________

Address:__________________________________________________________

City:_________________________________State_________Zip____________

 

4.   Donation in the Name of ____________________ for ___________________

Please acknowledge to:

Name:____________________________________________________________

Address:__________________________________________________________

City:_________________________________State_________Zip____________

 

Additional Names May Be Added on the Back.

Habitat for Humanity will send an acknowledgment to each person listed above. Thank you for your generous support of Habitat for Humanity of Haywood County!