Form #DHQOW0000WM001

Under the direction of the Board of Directors, HFHI retains complete control over the use and distribution of donated funds in furtherance of its mission.

Postal Mail Donation Form

Please print and complete this form and
mail it along with your donation to:

Habitat for Humanity International
121 Habitat Street
Americus, GA 31709-3498

Be sure to enclose your check or your credit card information.

Donor Information:

Name:	____________________________________________
Address:	____________________________________________
City:	____________________________________________
State:	_________________
Zip:	_________________
E-Mail Address:	____________________________________________

Payment Information:

Enclosed is my check for:	$_________
Please charge my gift of:	$_________
Payment Method:	Visa / Mastercard / American Express / Discover
Account No.	_____________________________________
Exp. Date	___________
Signature	_____________________________________
Phone Number	_____________________________________

Please make checks payable to Habitat for Humanity International.

All gifts are tax-deductible to the extent allowable by law.
For more information, call 1-800-422-4828 (1-800-HABITAT).
To donate by fax: 229-410-7465