Springfield/Eugene Habitat for Humanity  Contribution Coupon

I would like to help Springfield/Eugene Habitat for Humanity fulfill its mission to build homes in partnership with families in need.

Here is my pledge of $_____ per month for ________months.

Here is my one time gift of $____________.

Here is at least $100 to join the 500 Club______________.

Here is my gift of $___________ in memory of _________________________.

Here is my alternative gift of $___________ in honor of another individual or family.

List name and address of individual or family member and we will notify them of your gift.

Name_________________________________________________________

Address_______________________________________________________

Holiday/Occasion to be celebrated_________________________________

Your Name____________________________________________________

Address____________________________________________  Zip_____________

Email Address______________________________________  Phone________________

_________ Check here if you do not wish to be publicly recognized for your gift in a newsletter or other manner.

When you supply contact information for persons or families in whose honor or memory you are making a gift, Habitat sends an acknowledgement to the person(s) designated, although we never share the amount of the gift.

All donations are tax-deductible to the extent permitted by law.

Please make checks payable to Springfield/Eugene Habitat for Humanity and mail to PO Box 488 Springfield, OR 97477. Thank you!