Donation Form for the Annual Mental Health Classic Auction

Please enter the details of your donation and your contact details
(fields marked with an asterisk are required).

Your Name*
Organization
Phone Number*
Fax Number
Email*

Donation Value*

Donation Description*

Clicking on the Submit Button will send the donation information to HOMES Inc.
We'll contact you to confirm any details about the donation

Please mail or ship your donation to:
HOMES INC
.4341 Birch St. Ste. 213
Newport Beach, CA 92660
Thank you for supporting our worthy cause and non-profit organization 
with your tax deductible contribution. Tax ID:  33-0107781
Click here for more information about our organization.

Last Modified: 09/19/05 

[ home ] [ about us ] [ how does it work? ] [ how can you help? ] [ events ] [ search ] [ resources ] [ board members ] [ newsletters ] [ memberships ] [ winemaker dinner 2006 ]



Web Services by www.1pcn.com

H.O.M.E.S. Inc. Newport Beach, CA 92660, United States of America
Tel: 949-851-2766    Fax: 949-851-2767   info@homesinc.org    http://www.homesinc.org