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Thank You! You're help is greatly needed and appreciated!

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* Donation Type


One time donation       Monthly gift. How many months:  

This donation is in response to a mailing I received.    

Would you like this donation to remain anonymous?    

My company or organization will match my donation.    
Company Name:
Company Address:
City:
State:
Zip:

Donations To Be Made In a Person's Honor or Memory

'In Honor of' Donation       'In Memory of' Donation

Name of Individual to be Remembered or Honored:

When you make a contribution to the House in remembrance or in honor of a loved one, we will be happy to send an appropriate card in your name to a recipient to acknowledge your gift.

Name of Recipient to be Notified:
Recipient Address:
City:
State:
Zip:

Donation Designation

Click on any of the programs below you would be interested in sponsoring.

Sponsor a Family Program
We do not turn away a family because of financial restraints. We do, however, ask them for $15 per night. Only 50% of our families are able to pay. Your donation of any amount will help a family in need.

"Buy an Appliance" Fund
For a minimum gift of $250, you can help us to maintain our House. With 12 bedrooms and 2 kitchens there is always a need to update the quality of our appliances.

Meal Program
On a night that community groups are not scheduled to participate in our Meal Program, your gift will help provide a meal for our families. If you prefer to donate a dinner in your group's name, we require a minimum donation of $150. For additional information, please contact Christina Picucci, House Manager at (914) 493-6455; criley@rmhghv.org

General Fund
As a not-for-profit organization, we depend on the generosity of others to continue our mission.


* Amount

Select how much you would like to donate.
$25     $50     $100     $250     $500    
Other ($10 minimum): $

* Billing Address

We will mail your receipt to this address.
Mr.   Mrs.   Ms.  
Other:
*First Name:
*Last Name:
*Billing Address:
*City:
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*Zip:
*Phone:
*Email:
Billing address and mailing address are not the same

* Shipping Address

Mr.   Mrs.   Ms.  
Other:
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* Payment Information

Credit Card Type:
American Express     Discover     MasterCard     Visa    
*Card Holder's Name (Exactly as it appears on card):
*Card Number:
*Security Code:
What is this?
Three digit security codes are found on the back of most Visa, MasterCard and Discover cards. On American Express, the code is 4 digits and located on the front right top corner.
*Expiration Date: Month:
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*Year: