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Donation Form
To read the privacy statement
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First Name *
MI
Last Name *
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Street Address *
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Email Communications
I would like to receive email communications
Would like us to add you to our electronic newsletter database?
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Which site does this donation support?
Donation Notes:
Donor Listing: (
exactly as you would like your contribution to be noted
)
(If no recognition is desired, please write "None". Your commitment will be listed as anonymous)
Updates of Summit House progress
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Email Newsletter
Annual Fund
Graduations
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Is this Donation a gift for a specific Event or Purpose?
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If yes, please indicate event.
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Does your employer offer matching gifts?
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If yes, please provide us instructions or contact information for accessing the matching funds.
Gifts to Summit House are a meaningful way to remember someone special. An acknowledgment, omitting the amount, will be sent from Summit House. Should you wish to give a memorial or honorary tribute, please complete the following:
Honoree 1
First Name
MI
Last Name
Street Address
City
State
Zip Code
Email Address
Honoree 2
First Name
MI
Last Name
Street Address
City
State
Zip Code
Email Address
Honoree 3
First Name
MI
Last Name
Street Address
City
State
Zip Code
Email Address
I have read the
privacy statement
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*Do not close your browser while the form is being processed.
Your donations are appreciated, but once submitted they are non refundable
