Name:
Address:
City, State, & Zip:
Memorial or Honor Name:
Next of Kin Name:
Acknowledgement Address:
Dear Fr. John: I want to feed the hungry and care for the homeless poor in our Nation's Capital. Enclosed is my contribution of:
$500
$50
$250
$25
$100
Other:
Please make checks payable to: SOME 71 "O" Street, NW Washington, D.C. 20001
-- OR --
Please bill my credit card:
Visa Mastercard Discover (Novus)
Account No.:
Expiration Date (MM/YY):
Signature:
Please fill this out, then print and mail to the address listed above.
Thank You!
