To share in a gift of mobility to “one of the least of God’s children” print this page and and send a check payable to: PET MI-Holland. The address is 124 E. 6th St., Suite 100 Holland, MI 49423.

Name _____________________________________

Address ___________________________________ City______________ State________

[   ] I wish to sponsor one child’s PET @ $250
[   ] I wish to donate a share of a child’s PET @  [  ]$100,  [  ]$50,  [  ]$25,  [  ] $______
       I am making my gift in [honor] or [memory] of _______________________________
                                              Address ________________________________________
                                              (please provide name and address for acknowledgement) 

[   ] Please include me on the Newsletter list, my email is:______________________

      All gifts are tax deductible (501c3) and a receipt is returned to donor.