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Experience the Joy! Change a life!

Yes, I want to experience the joy of transforming a life by:

  • Giving an in-kind donation of food, clothing or furniture gift of:

  • My monthly charitable tithe of $ for Months
  • My tax deductible gift of $

in honor of / memory of

  • My Employer is matching my gift:
Complete Company Name
Address
Address1
City
State or Providence
Postal Code
Telephone
Contact Name
E-Mail
  • Sharing my time and skills: 
    • Work Type
    • Skills         
  • Suggesting a company or person who may wish to help the poor:
    • Name        
    • Phone       
  • Volunteering to work with a resident by:
    • Mentoring 
    • Tutoring
    • Counseling
  • Assisting as a Church Liaison :
  • How did you hear about us?

Contact Information

*=Required

First & Middle Name*   
Last Name*
Spouse's Name
Address*
Address1
City*
State or Province*
Postal Code*
Home Phone
Work Phone
Cell Phone
E-Mail
Occupation
Education Level/Degree

 


Copyright © 2001  Good Shepherd Ministries . All rights reserved.
Revised: February 09, 2003 .