| The Agape House |
| "The place where God's loves meets peoples' needs" |
| Donation Form |
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Name or Organization: _______________________________________________________________
_______________________________________________________________
Address:__________________________________________________________________________
City:_______________________________________ State:__________ Zip:_______________
Telephone:___________________________________
Fax: ________________________________________
Email:_______________________________________
Please accept my gift in the amount of
____ $1,000
____ $500
____ $250
____ $100
____ $50
____ $_________
Enclosed is my check payable to : The Agape House
Thank You for your Donation to The Agape House
Please mail to:
The Agape House
222 N. Carrollton Avenue
Baltimore, MD 21223
_______________________________________________________________
Address:__________________________________________________________________________
City:_______________________________________ State:__________ Zip:_______________
Telephone:___________________________________
Fax: ________________________________________
Email:_______________________________________
Please accept my gift in the amount of
____ $1,000
____ $500
____ $250
____ $100
____ $50
____ $_________
Enclosed is my check payable to : The Agape House
Thank You for your Donation to The Agape House
Please mail to:
The Agape House
222 N. Carrollton Avenue
Baltimore, MD 21223