Donate via Postal Mail

Name 

Address 

City                                 State          Zip Code            

Email 


Join our mailing list!    ____ Email     ____ Postal Mail


Donation's Intention:

    ____ Special Needs Adoption Grants        ____ General Donation       ____ Medical Intervention
    ____ House of Love Orphanage (Viet Nam)   ____ Brittany's Cribs       ____ HOPE Project (Education)
    ____ Injibara Children's Home (Ethiopia)  ____ Nutrition Project      ____ Emily Cane Project

    Amount:   ____ $5   ____ $10   ____ $25   ____$50   ____$100   ____$500
	  
              ____ Other Amount: $_______________________________
		 
      
I wish to Sponsor a Child and Save a Life:

    ____ $35/month for one year to support a child = $420
    ____ $50/month for one year to support a child through Higher Education = $600
	 Please contact 717-367-9614 or sponsor@brittanyshope.org for more information.
	
	  
Total Donation Amount: $ ______________________________


Gift in Honor of (Optional): Please provide Honoree's name and address below.  If you
would like to Gift in honor of more than one person, place additional recipients on the back.
A gift card will be mailed to each immediatley upon receipt of your check.

Gift: 

Name 

Address 

City                             State          Zip Code            


Mail this form and your check made payable to Brittany's Hope Foundation to
1160 N. Market Street, Elizabethtown, PA  17022