DONATION MAIL-IN FORM
Please print this page, complete the form and mail together with your check to: The Healing Bridge Project, 505 Monument Avenue, Malvern, PA 19355-2634, USA.

YOUR INFORMATION

Name

Street Address

City / Town

State/Province

Postal Code Country

Phone Email

Donation Amount

GIVE AS A TRIBUTE

My donation is in honor of someone special.

Name of honoree

Name of person to be notified of gift

Street Address

City / Town

State/Province

Postal Code Country

Thank you for your generosity. Your gift is fully tax-deductible. You will receive a letter from our treasurer acknowledging your donation and giving you necessary information for your tax deduction.