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:______________________________________________________________________

City/State:_____________________________________________________ Zip Code:________

E-mail Address: ________________________________________________________________

Daytime Phone:__________________________Evening Phone:__________________________

Employer:_____________________________________________________________________

How you heard about Habitat: _____________________________________________________

Thank you for your valued support!