Yes! I will support Homestead with a $5.00 per month gift.
Name:__________________________________________________________ Phone: (_____) __________________
Address:_________________________________________________________________________
I authorize Homestead Christian Care to withdraw $5.00 each month from my bank account/credit card.
Method of payment*:
___ Direct Withdrawal (enclose a VOID cheque)
OR
___ Credit Card - Type: ___ Visa ___ Master Card ___ American Express
Card Number |__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__| Expiry Date |__|__| / |__|__|
Signature ______________________________________________
Date _________________
*Homestead is a registered charity. You will receive a charitable gift receipt at the end of the year.
Send completed form to:
Homestead Christian Care
195 Charlton Ave W
Hamilton, ON L8P 2C9