Muskegon County Habitat for Humanity

DONATION FORM 

Is this your first donation to Muskegon Habitat for Humanity?

 ___ Yes      ___ No                               Donation Amount:__________

Your Information: 

Name:____________________________________________

Address:__________________________________________

City:______________________________________________

State:_______________________ Zip:__________________

Phone:____________________  E-mail:__________________

Would you like to subscribe to Muskegon County Habitat for Humanity's quarterly newsletter? ___ Yes      ___ No

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Muskegon County 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:

Name of Honoree: ____________________________________

Honorarium or Memorial (Please circle.) 

Please mail acknowledgement card to: 

Name: ______________________________________________

Address:_____________________________________________

City:____________________  ST:________ Zip:_____________

Phone: ______________________  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: Visa & MasterCard acceptd. (Please circle) 

Name:___________________________________________________

Credit Card Number:___________________Card Exp:_____________

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If paying by credit card you may fax this completed form to: (231) 722-4959 OR if paying by check or credit card, mail to:

Muskegon County Habitat for Humanity

280 Ottawa Street

Muskegon, MI 49442

Please do not hesitate to call us if you have any questions:  (231) 727-6020 

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