home Letter of Authorization Mission Donate Events  About Us Links

 

 

Please consider donating via Paypal or Credit card

 

 

or print and mail the from below to us
 
PURE INSPIRATION DONATION FORM

Please complete the information below and mail it with your check or money order payable to Pure Inspiration to: (At this time we are in the process of obtaining our non-profit status and at this time we are not recognized as non-profit)

Pure Inspiration
 633 Fern Rd
 Glenside, Pa. 19038

 

gregschultz@pureinspiration.org

www.pureinspiration.org

THANK YOU!

Enclosed please find my donation in the amount of:
___$5,000
___$1,000
___$500
___$250
___$100
___$50
$______Other amount
 
 
Name: ________________________________________________________________

Address: ______________________________________________________________

City/State/Zip: _________________________________________________________

Country: ______________________________________________________________

email: ________________________________________________________