Donation Form for CLUB 1000

Club 1000 Donations can be sent to Habitat for Humanity--Lima Area, Inc. by printing this page, filling out the form, and sending the completed form along with your initial contribution in the mail to:

Habitat For Humanity, Lima Area, Inc.
123 E. Wayne St.
Lima, OH  45801-4141

I pledge to support Habitat for Humanity, Lima Area, Inc. by joining Club 1000 at the following level:

bullet___Foundation Level -- $120.00 annual contribution ($10.00 per month / $30.00 per quarter / $60.00 bi-annual)
bullet___Bronze Hammer -- $600.00 annual contribution ($50.00 per month / $150.00 per quarter / $300.00 bi-annual)
bullet___Silver Hammer -- $1,200.00 annual contribution ($100.00 per month / $300.00 per quarter / $600.00 bi-annual)
bullet___Golden Hammer -- $12,000.00 annual contribution ($1000.00 per month / $3,000.00 per quarter / $6,000.00 bi-annual)
bullet___Angel -- $30,000 full house sponsorship
bullet___Your personal level -- whatever you feel you can afford -- Amount: $____________

My contribution will be made:

bullet____Monthly
bullet____Quarterly
bullet____Bi-annually
bullet____Annually 

Enclosed please find my check payable to Habitat for Humanity--Lima Area, Inc. for my initial contribution according to my chosen contribution frequency.  

Please Complete:

    Name _________________________________________________

    Street Address __________________________________________

    City ___________________   State ________   Zip _____________

    My congregation (optional) ____________________________________________________________

Thank you for your generosity in supporting Habitat for Humanity, Lima Area, Inc. in its ministry as an expression of Christian compassion to those in need of better housing.

**Gifts to Habitat for Humanity--Lima Area, Inc. are tax deductible.**

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