2009-2010 Sweet Smiles, Big Dreams Gift Campaign

Name 

Address 

City                             State          Zip Code            



I wish to make a general donation to:

      ____ House of Love, Vietnam     ____ Medical Interventions     ____ Orphan Care Village, Ethiopia
      ____ Medical Interventions      ____ Child-specific Grants     ____ General Donation to Brittany's Hope

      Amount:   ____ $25   ____ $50   ____$100   ____$500
	  
                ____ Other Amount: $_______________________
		  

I wish to make a donation to the Nutrition Program:
      ____ $25 to feed a child for a month
      ____ $300 to feed a child for a year
      ____ Other amount: $________________
	  
	  
I wish to provide _______ Brittany's Cribs @ $150/crib = $_______________


I wish to sponsor a child at the House of Love in Vietnam:
      ____ $35/month for one year to support a child = $420
      ____ $50/month for one year to support and educate a child = $600
	   Please contact us at 717-367-9614 or sponsorships@brittanyshope.org
	   to set up a payment plan or to pay by credit card.
	
	  
Total Donation Amount: $ ______________________________


Gifting in Honor of Friends or Relatives: Please provide recipient's name 
and address below in addition to your information. A gift card will be sent
to them. We ask that your designate no more than two honorees per donation.

Gift: 

Name 

Address 

City                             State          Zip Code            


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