Donation Form
Leland Habitat for Humanity, Inc.
P. O. Box 88
Leland, MS 38756

 
YES! I want to help Leland Habitat for Humanity 
in its ministry of eliminating poverty housing 
in Leland, Mississippi! 

Enclosed is my gift to Leland Habitat for Humanity.

Name_________________________________________
Address_______________________________________
City___________________________________________
State____________________________Zip___________
Phone_________________________________________

Memorial Gift In Memory/Honor of:

________________________________________

Send acknowledgement to:

________________________________________

________________________________________

________________________________________

All gifts are tax-deductible.
Please make checks payable to:

LELAND HABITAT FOR HUMANITY, INC.
Mail to:  Leland Habitat for Humanity, Inc.
P. O. Box 88, Leland, MS 38756

    ___$30 (50 Pounds of Nails) 
   ___$50  (Interior Door) 
   ___$100  (Room Window) 
   ___$350  (Roof)
   ___$500  (Lighting Fixtures)
   ___$1500  (Foundation) 
   ___$5000  (Framing Package - 1 House) 
   ___$Other   $__________________

I would like to use my credit  card:
___MasterCard   ___Visa 
___American Express   ___Discover

Account #________________________ 
Expiration_________

Signature________________________
Amount $__________
 

 

Return
Home