If paying by credit card, you may fax this completed form to: 512-472-6235 fx
OR
Mail to:
Austin Habitat for Humanity
310 Comal, #100
Austin, TX 78702
Is this your first donation to Austin Habitat for Humanity? ___ Yes ___ No
Visa, MasterCard & American Express accepted.
Donation Amount:______________
Your Information:
First Name:____________________________ Last Name:____________________________
Address:_____________________________________, City:________________
State:_______, Zip:______________
Phone Number:____________________ E-mail:____________________________
Would you like to subscribe to Austin Habitat's quarterly Newsletter?
___ Yes ___ No
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Austin Habitat for Humanity will honor all donations made in memory orin honor of individuals and groups with a gift
announcement mailed toyour designee. To designate your donation, please complete the following:
____Honorarium ____Memorial
Name of Honoree: ____________________________
Please mail acknowledgement card to:
First Name:____________________________ Last Name:____________________________
Address:_____________________________________, City:________________
State:_______, Zip:______________
Phone Number:____________________ 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 card:
Name:__________________________
Credit Card Number:____________________________
Card Expiration Date:____________
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Please do not hesitate to call us with your questions: 472-8788
THANK YOU!