Coastal Habitat for Humanity, Inc.

For the woman who has made a difference in your life . . .
Touch her heart with a gift of incomparable generosity . . .
Help to build a simple, decent house for a family in need In her name!

Honor the special woman in your life by enrolling her in our Honor a Woman campaign.

The honoree will receive a beautiful, personalized letter illustrating her unique significance in your life.
Deceased loved ones will be honored with a letter to a designated party.

Complete the form below to Honor A Woman.
If you prefer to mail in your request, print or download this form and return it to us.

Note: A red circle denotes required fields

Your Name & Address:

First Name:

Last Name:

E-mail Address:

Address:

City:

State:

Zip Code:

Telephone:
(###) ###-####
###-###-####

Amount you wish
to donate:

This tax-deductible gift is made in honor of:

Honoree's Name:

Honoree's Address:

Honoree's City:

Honoree's State:

Honoree's Zip Code:

I am honoring this woman because:

Please send the letter acknowledging this enrollment to:

The woman I honored

My Address

Click the Submit button below. After confirming your information, click the "Make A Donation" button on the following page to complete your donation at the secure Pay Pal website. Thank you.