Habitat for Humanity of Taos
DONATION FORM
 
Is this your first donation to Habitat for Humanity of Taos?
 
___ Yes      ___ No
 
Discover, Visa & MasterCard accepted.
 
Donation Amount:______________
Your Information:
 
Name:__________________________________
 
Address:____________________________
 
____________________________
 
City:____________________________
 
State:____________________________
 
Zip:____________________________
 
Phone Number:____________________________
 
E-mail:____________________________
 
Would you like to subscribe to Habitat for Humanity of Taos's newsletter?
 
___ Yes      ___ No
 
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Habitat for Humanity of Taos 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 Donating by Credit Card, please enter the following information as it
appears on your credit card:
 
Name:____________________________
 
Credit Card Number:____________________________
 
Card Expiration:____________________________
 
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If paying by credit card you may fax this completed form to: (575) 758-0715
OR
If paying by check or credit card, mail to:
 
Habitat for Humanity of Taos
PO Box 1888
Taos, NM 87571
 
Please do not hesitate to call us if you have any questions:  (575) 758-7827

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