Pensacola Habitat For Humanity

DONATION FORM

Is this your first donation to Pensacola Habitat For Humanity?

___ Yes      ___ No

Donation Amount:______________

Enclosed is my check for: $_________ 

Please charge my gift of: $_________ (enter credit card info below)

Donation purpose?  _______General Fund   _____Christmas Ornament   _____Other:_____________

To send a Christmas Ornament as a gift, indicate the recipient's name and mailing address: 

Name:__________________________________

Address:____________________________ City:____________________________

State:________  Zip:________



Your Information:

Name:__________________________________

Address:____________________________

____________________________

City:____________________________

State:____________________________

Zip:____________________________

Phone Number:____________________________

E-mail:____________________________



Would you like to subscribe to Pensacola Habitat For Humanity's Newsletter?

___ Yes      ___ No

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Visa & MasterCard accepted.  If donating by Credit Card, please enter the following information as it

appears on your credit card:

Name on Card:____________________________

Credit Card Number:____________________________

Card Expiration:____________________________

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Pensacola Habitat For Humanity 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.

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If paying by credit card you may fax this completed form to: (850) 434-0850

OR

If paying by check or credit card, mail to:

Pensacola Habitat For Humanity

P>O. Box 13204 

Pensacola, FL 32591-3204

Please call Natalie Stolfi if you have any questions: (850) 434-5456

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