habitat-nyc's online donation form

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Name Account # Expiration Address Phone Email Help hardworking NYC families open the door to a better future. Habitat for Humanity - New York City 111 John Street, 23rd Fl., New York, NY 10038 (212) 991-4000 www.habitatnyc.org Signature m Visa m Mastercard m Discover m Amex Donor Information Gift Dedication Donate by credit card or check or make a gift online at www.habitatnyc.org Name Address Email m In Honor of m In Memory of Habitat for Humanity - New York City does NOT sell or rent any information about our donors to third parties. Periodically we do trade donor lists with other non-profit organizations that might be of interest to you. If you want to opt out from this list trade, please send your request with your donation. Please print and complete this form. Send it along with your donation check or credit card information to: Habitat for Humanity - New York City 111 John Street, 23rd Floor New York, NY 10038 Attn: James Andrews Print & Send Name Hammers for volunteers m $35 Nails for one home m $50 New hardhats for volunteers m $100 Front door for one home m $500 Other m $ _________ Insulation for one home m $1,000 Floors for one home m $1,500

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Habitat-NYC's Online Donation Form

TRANSCRIPT

Name

Account # Expiration

Address

Phone

Email

Help hardworking NYC families open the door to a better future.

Habitat for Humanity - New York City • 111 John Street, 23rd Fl., New York, NY 10038 • (212) 991-4000 • www.habitatnyc.org

Signature

m Visa m Mastercard

m Discoverm Amex

Donor Information Gift Dedication

Donate by credit card or check or make a gift online at www.habitatnyc.org

Name

Address

Email

m In Honor of m In Memory of

Habitat for Humanity - New York City does NOT sell or rent any information about our donors to third parties. Periodically we do trade donor lists with other non-profit organizations that might be of interest to you. If you want to opt out from this list trade, please send your request with your donation.

Please print and complete this form. Send it along with your donation check or credit card information to:Habitat for Humanity - New York City111 John Street, 23rd Floor New York, NY 10038Attn: James Andrews

Print & Send

Name

Hammers for volunteersm $35

Nails for one homem $50

New hardhats for volunteersm $100

Front door for one homem $500

Otherm $ _________

Insulation for one homem $1,000

Floors for one homem $1,500