RMH - Make a Gift forms

You may wish to
consider the donation of appreciated securities.
For further information
call Kathleen Kittle
or Catherine Pappas
at 734-994-4442 or
email Catherine at cpappas@rmh-annarbor.org
All contributions are tax deductible as allowed
by law.

floating links Please print this form and mail it to us at the
address at left, or to give online click the Donate Now button at left.

Enclosed is my gift to provide:
one night lodging ($25)	three nights lodging ($75)
two nights lodging ($50)	four nights lodging ($100)
	other amount $________

Name:__________________________________________________ Address:________________________________________________ City:______________________ State:________ Zip:_____________ Email:__________________________________________________ Check here if you do not want your name published as a donor in print or on the Web.
This gift is made:	In memory of:__________________________ In honor of:____________________________ (occasion):_______________________________
Please notify:	Name:___________________________________ Address:_________________________________ City:_______________ State:______ Zip:_______
VISA/MasterCard #:______________________ Exp. Date:________


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