Pledge Form
Please send this form to our local office and it will be processed immediately.
Our sincere gratitude for being part of the solution!  

Yes, I would like to Donate to 'Victoria Habitat for Humanity'.

I hereby pledge the amount of $_________________  

and I would like these monies used for ________________________________________
(if left blank, we will forward the money to the area of greatest need.)

Applicant Name_________________________________________________________________

Called Name____________________________________________________________________

Current Address
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Street: _______________________________________________________________________

Street: _______________________________________________________________________

City: _________________________________________________________________________

Province/State:______________                      ZIP(Postal Code):___________

Country:_______________________________________________________________________

Phone Number
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Phone# (Day):__________________________________________________________________

Phone# (alternate):____________________________________________________________

E-mail address:_________________________________________________________________

Availability (if necessary)____________________________________________________    

Payment Options
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I am Paying by:

Cheque______   Money Order______

Please make cheques payable to "Habitat for Humanity Victoria" and include
them along with this pledge card to:  Habitat for Humanity Victoria 2100
Douglas St. Victoria BC  V8T 4L3

Questions? Phone: 250-480-7688
Our Charitable Registration Number is: 89060-4135-RR0001.