2007 Gift Ideas from Brittany's Hope Foundation

Name 

Address 



City                                      State                Zip Code                  



I would like to donate to:

______  Nutrition Program:      ______ $25/month      ______ $300/year

______  House of Love:          ______ $25/month      ______ $40/month

______  Brittany's Cribs:       ______ cribs @ $150/crib = $ __________

______  General Donation:       $ _____________________________________

Total Donation Amount:          $ _____________________________________



Gifting in Honor of Friends or Relatives: Please provide
their name and address below in addition to your information. Holiday
announcement will be sent if received before December 19, 2007.

Accept my donation in honor of:

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