If you would like to make a credit card donation, you may do so through Network for Good by clicking on
this link.
HOUSE OF MERCY CONTRIBUTION FORM
I
want to support the work of House of Mercy.
Enclosed is my tax-deductible donation of:
□ $500
□ $250 □ $100 □
$50 □ Other $ _____________
□ Monthly gift $_______________________
If you would like to make a credit card donation, you may do so through Network
for Good by clicking on
this link.
Signature
__________________________________________________________________________
Printed Name: ______________________________________________________________________
□ My
employer matches charitable gifts. Company
Name: _____________________________________
Please include a matching
gift form from your company with this gift, if possible.
□ I would
like to make a gift of stock or other securities.
Please contact me.
□ I would
like information about including House of Mercy in my will or estate planning.
Name ________________________________________________________ Birthday ___________
Address _________________________________________________________________________
City _________________________________ State ___________ Zip Code ___________________
Telephone ____________________________ Email ______________________________________
DO YOU WISH TO GIVE A GIFT WITH SPECIAL MEANING?
□ I
would like to make this gift in memory of :
Name of the deceased
________________________________________________________
□ I
would like to make this gift in honor of:
Name of living person ________________________________________________________
Occasion for honor
__________________________________________________________
Please send
notice of this memorial or honor gift (amount is not revealed) to:
Name ________________________________________________________________________
Address ______________________________________________________________________
City
______________________________ State _________ Zip Code _____________________
Thank
you for your support of House of Mercy. House of Mercy is a private,
non-profit
501(c)(3) corporation and a sponsored ministry of the Sisters of
Mercy.