Mail Donation Form
Please print this page and mail it to the attention of :
Director of Development
Safe Haven Family Shelter
1234 3rd Avenue South
Nashville, TN 37210
Thank you for your support of homeless families in Middle TN. If you have any questions, please call 256-8195. Also, make sure to keep a copy of this for your personal records.
I would like to support Safe Haven Family Shelter with a generous gift of :
___ $25 ___ $50 ____ $75 ____ $100 ___ $200
_____ $500 _____ $1000 ______ $Other amount
Name__________________________________
Address__________________________________________________________
City____________________ State_____ Zip________
Phone _____- ____ -_________ Ext. _________
Email____________________________________________
List in Publications as (for gifts over $100) _______________________________________________
Signature_____________________________________________
Method of Payment ___ Check ___ Credit Card
Bill me on: __________________________________
(Fiscal year ends June 30)
I work for a matching gift company and have enclosed a completed matching gift form.
_____ Yes _____ No
I want to learn more about volunteer opportunities at Safe Haven
____ Yes ____ No
How did you hear about Safe Haven? _________________________
Gifts to Safe Haven Family Shelter are tax deductible to the full extent provided by law.
Please consult your tax advisor for information regarding your individual circumstances.
|
