Familystrength
HOME-BASED BEHAVIORAL HEALTH
SOLUTIONS
85 North State Street, Concord, New
Hampshire 03301
phone: (603) 228-3266, fax: (603) 228-2990
Thank you for visiting our website and asking how you can help.
Make a Donation (online payment coming soon)
Help us make a difference in New Hampshire. Your gifts are vital to the operations of Familystrength's service programs.
You can make a tax-deductible donation to Familystrength by sending a check or money order and form below to:
Familystrength
85 North State Street
Concord, NH 03301
Attn: Lee Ann Lewis
You can also make a tax-deductible donation to Familystrength with a credit card by calling or fax:
Phone: Familystrength
603-228-3266
Fax: 603-228-2990
| Online Donation Form | ||||||||||||||
| Yes, I will make an online contribution to Familystrength. | ||||||||||||||
| Donation Amount: $ _______________________ | ||||||||||||||
| Recurring Credit Card Payment | ||||||||||||||
| Frequency (please check one) | Monthly | |||||||||||||
| Quarterly | ||||||||||||||
| Semi-Annual | ||||||||||||||
| ** Please note all recurring charges will remain in effect for one year from date signed on form. | ||||||||||||||
| If charges need to be stopped, please notify the Familystrength Billing Department at | ||||||||||||||
| (603) 228-3266 ext. 211 a full 30 days prior to the next scheduled charge.** | ||||||||||||||
| One-Time Credit Card Only | ||||||||||||||
| TYPE OF CREDIT CARD | ||||||||||||||
| (Please check one) | Mastercard | |||||||||||||
| VISA | ||||||||||||||
| CREDIT CARD NUMBER | EXP DATE (MM-YYYY) | |||||||||||||
| NAME AS IT APPEARS ON YOUR CREDIT CARD | DATE | |||||||||||||
| I authorize Familystrength to charge my credit card with the donation amount as listed above. | ||||||||||||||
| Donor Information: | ||||||||||||||
| Name | ||||||||||||||
| Address | ||||||||||||||
| City, State, Zip Code | ||||||||||||||
| Phone Number | ||||||||||||||
| In Honor of: | ||||||||||||||
| In Memory of: | ||||||||||||||
| Please notify: | ||||||||||||||
| Name | Address | City/State | Zip | |||||||||||