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

Paterson Habitat for Humanity
PO Box 2585
Paterson, NJ 07509

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 Paterson Habitat for Humanity.

All gifts are tax-deductible to the extent allowable by law.
For more information call: (973) 595-6868