Holmes County Habitat for Humanity Fund Campaign

Donor Pledge Card

I/We want to be one of the

_____ $9000.00 donor ($750.00/month)

_____ $6000.00 donor ($500.00/month)

_____ $3000.00 donor ($250.00/month)

_____ $1500.00 donor ($125.00/month)

_____ $ 750.00 donor ($62.50/month)

_____ $ 375.00 donor ($31.25/month)

____________ Other Amount

May we list you as one of our category donors when talking to other prospective donors ____ yes ____ no

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Print name, as it should appear on our records

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Street Address

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City, State and Zip

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Phone Number

____________________________________ ______________

Signature Date

Holmes County Habitat for Humanity

P.O. Box 418

Millersburg, Ohio 44654

Phone: (330) 674-4663