Habitat for Humanity of Weber and Davis Counties, Inc.
Donor Form

Name:_____________________________________________________________

Address: ___________________________________________________________

___________________________________________________________________

City: ______________________________________________________________

State: ___________________ Zip: ______________________________________

Phone Number _____________________________________________________

E-Mail Address:______________________________________________________


Enclosed is my check for $__________________

Make your check payable to HFH Weber/Davis

(Please write For Doxey Project in the memo area of your check,
if that is where you wish your funds to be directed.)

Mail this form and your check to:

HFH Weber/Davis
P. O. Box 1532
Layton, UT 84041

All gifts are tax-deductible to the extent allowable by law.
For more information, please call 801-475-9821
....Thank you.