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Donation Form

Thank you for supporting Merrimack Valley Habitat for Humanity!

Simply print out and mail in this form to:
Merrimack Valley Habitat for Humanity
60 Island Street
Lawrence, MA 01840

Call 978-681-8858 if you have any questions.

Yes, I would like to donate $____________.

To make a donation, please make checks payable to:
Merrimack Valley Habitat for Humanity

Name:
 _____________________
Date:
 _____________________
Address:
 _____________________
E-mail Address:
 _____________________
City/State:
 _____________________
Daytime Phone:
 _____________________
Zip Code:
 _____________________
Evening Phone:
 _____________________
Employer:
 _____________________
How you heard about Habitat:

_____________________

Thank you for your valued support!
Merrimack Valley Habitat for Humanity
60 Island Street, Lawrence, MA 01840
Tel: 978-681-8858 - Fax: 978-681-9357 - E-mail: info@merrimackvalleyhabitat.org

The Habitat for Humanity International web site contains more information on Habitat's history, mission, volunteer opportunities and contact information for other Habitat affiliates around the world.