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Thank you for your interest in supporting Habitat for Humanity of Lee and Hendry Counties. Every gift impacts and transforms local families now and for generations to come.

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

Habitat for Humanity of Lee and Hendry Counties
12751 New Brittany Blvd.,
Suite 100
Fort Myers, FL 33907

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

Donor Information:

Name:____________________________________________

Address:____________________________________________

City:____________________________________________

State:_________________

Zip:_________________

Phone:_________________

E-Mail Address:____________________________________________

Payment Information:

Enclosed is my gift of: $_________

Please charge my gift of: $_________

Credit Card Number:_____________________________________

Exp. Date:___________

Security Code:___________

Signature_____________________________________

Gift Comment or Notes_____________________________

Please make checks payable to Habitat for Humanity of Lee and Hendry Counties.

All gifts are tax-deductible to the extent allowable by law.
For more information, call (239) 349-7400