
61 E. Mound St.
Columbus, OH 43215
(614) 461-0407 or (614)222-2885
(614) 461-1397 FAX
$ _________ as a one time gift to:
$ _________ as a Monthly Quarterly gift for payments of $ _________ each until (month)_______ (year) _______
Visa Mastercard #__________________________________ exp. date ____/____/
Signature ________________________________________________________
Name ____________________________________________________________
Address __________________________________________________________
City _________________________ State _____________ Zip ______________
Thank You letters and Acknowledgements are mailed on a quarterly basis which
allows substantial savings on postal rates. However, special requests can be
honored at the time of donations.
86% OF YOUR TAX DEDUCTIBLE GIFT GOES DIRECTLY TO SERVICES
Your name and address is never sold or exchanged.
At this time, we are not equipped to accept online donations.
Please include a copy of this page with your gifts