Capital City Rescue Mission

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I WOULD LIKE TO MAKE A GIFT OF:

$35.00 to feed and care for 10 hungry and homeless men, women and children.
$50.00 to make homeless people more employable by covering computer-based education program costs.
$100.00 to help the needy beat the heat during the Summer months.
$375.00 toward the supportive living/housing program so men can transition safely back into the community.

Please specify your amount: $

Designated For:

If you wish to make your donation in memory or honor of someone, please check off the appropriate box and enter the person's name:

In Memory of: - or - In Honor of:

Personal information:

First Name: Last Name:

Street Address:

City: State: Zip Code:

Billing Information

The information you provide is for the Capital City Rescue Mission's internal purposes only. It is never given to a third party.

First Name: [required field]

Last Name: [required field]

Company: Email:

Phone: (555.555.5555) Fax: (555.555.5555)

Street Address: [required field]

City: State: Zip: [required fields]