FISHER HOUSE FOUN ATION, INC.
PRINTABLE DONATION FORM
Enclosed is a tax deductible gift of: $ _____________________________
Name:
__________________________________________________
Address:
__________________________________________________
__________________________________________________
City: _________________________________ State: ________________
Zip: ________________________________________
Phone: ______________________________________
Email: ______________________________________________________
I would like to make my donation in honor of/in memory of:
____________________________________________________________
If you would like Fisher House to acknowledge this gift to a third party, please
provide the name and address of the person to receive acknowledgement:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Make checks payable to: Fisher House Foundation
Address:
Fisher House Foundation
P.O. Box 97229
Washington, DC 20077-7804
Fisher House™ Foundation, Inc., is a not-for-profit organization under section 501(c)(3)
of the IRS code. Donations are tax deductible to the maximum extent allowed by law.