2003/2004
Giving Campaign Individual Donation Form
Yes!
My organization wants to donate to the MAAHFoundation! Please complete this
form, print it out, and enclose it
with
your payment, payable to the Moore American Affordable Housing Foundation. Mail
to: MAAHFoundation 2210 Sullivan Road, Building 30 Unit 3, College Park, Georgia
30337 Fax to: 770-234-6943
Name
(as you wish listed):
_________________________________________________________________________
Address:
_______________________________________________________________________________________
City,
State, ZIP Code:
_____________________________________________________________________________
Phone
number:
__________________________________________________________________________________
E-mail
address:
__________________________________________________________________________________
I
would like to support the Foundation as a/an:
Benefactor
($25,000 and above)
Silver Founder ($250
to $499)
Leadership
Circle donor ($10,000 to $24,999)
Bronze
Founder ($150 to $249)
Pacesetter
($5,000 to $9,999)
Founder
($100 to $149)
Patron
($2,500 to $4,999)
Associate
($50 to $99)
President's
Circle donor ($1,000 to $2,499)
Contributor
($25 to $49)
Gold
Founder ($500 to $999)
Other
$_____________
Amount
enclosed: $_______________________________________________________
Is
your donation being made in memory or in honor of someone special? If so, please
complete the following:
In
Memory of: ________________________________________________________
In
Honor of: __________________________________________________________
Please
send an acknowledgement card to:
Name:
_________________________________________________________________
Address:
_______________________________________________________________
City,
State, ZIP Code: _____________________________________________________
I'm
making a gift by
Check
Visa
MasterCard.
Card
#: __________________________________________________________________
Expiration
Date: _________________________________________________________
Signature:
______________________________________________________________
The
MAAHFoundation is a 501(c)(3) nonprofit organization under the regulations of
the Internal Revenue Service. All contributions to the Foundation are
tax-deductible to the extent provided by law.
Thank
you!
