The Open Shelter, Inc.

You can now donate online to help those we serve!

Name _______________________________________________________

Address _____________________________________________________

City ____________________ State _____________ Zip _____________

Phone # (     ) _______________________

Email Address________________________________

Enclosed is my gift of $ _______________

Visa Mastercard #__________________________________
exp. date (mo/yr) ____/____
CVV # ________ (Three Digit # on back of the card)

Signature _____________________________________________

My gift is in ____ honor ____ memory of ___________________________________________

____ I prefer that my gift remain anonymous

____ Please notify family of my gift
(no amount will be mentioned):

Family Name: ________________________________

Address: ______________________________________

City/State/Zip _________________________________

I would like:   ____ To be added to mailing list;
____ To volunteer;  ____Tour of Facilities
On behalf of those we serve, thank you for your support.

Your name and address is never sold or exchanged.

The Open Shelter, Inc. is recognized by the IRS as a 501(c)(3) charitable organization.