61 E. Mound St.
Columbus, OH 43215
(614) 461-0407 or (614)222-2885
(614) 461-1397 FAX

In honor/memory contributions to:

Name ____________________________________________________________

Address __________________________________________________________

City _________________________ State _____________ Zip ______________

Enclosed is my gift of $ _______________

Visa Mastercard #__________________________________ exp. date (mo/yr) ____/____/

Signature ________________________________________________________

My gift is in ____ honor ____ memory of ___________________________________

____ I prefer that my gift remain anonymous

____ Please notify family of my gift (no amount will be mentioned):

Family Name: ________________________________

Address: ________________________________ City/State/Zip ______________________

____ I have made arrangements to "Leave A Legacy" to The Open Shelter, Inc.
I would like:

____ To be added to mailing list; ____ To volunteer; ____ "Leave A Legacy" Brochure; ____Tour of Facilities
On behalf of those we serve, thank you for your support.

86% OF YOUR TAX DEDUCTIBLE GIFT GOES DIRECTLY TO SERVICES
Your name and address is never sold or exchanged.

The Open Shelter, Inc. is recognized by the IRS as a 501(c)(3) charitable organization.

At this time, we are not equipped to accept online donations.
Please include a copy of this page with your gifts