Hill Country Crisis Council P. O. Box 291817 Kerrville, TX 78029-1817 Contribution Form

Yes, I want to help victims of domestic violence and sexual abuse. Enclosed is my tax-deductible donation in the amount of $______________
.
In Honor Of/In Memory Of ____________________________________________

Send acknowledgement to:

Name____________________________________________

Address__________________________________________

City_____________State:________zip___________


Payment Method: Check _____ MasterCard _____ Visa _____

Cardholder Name: __________________________ Card No.: _____________________

Valid through: ______________ Signature: ____________________________________

Donor Name: _______________________________________

Donor Address: _____________________________________

City, State, Zip ______________________________________

Telephone: Home: ______________ Work: ______________

Mail to: Hill Country Crisis Council - PO Box 291817 - Kerrville, Texas 78029-1817