Please print & mail this completed form along with your donation to:
3465 Banning Road
Cincinnati, Ohio 45239-5210
Please print this form and complete the information below to ensure proper preparation of your tax receipt (please print clearly). To donate to a specific cause, please write the name of the cause on the memo line of your check.
____ Please check the line if a receipt is not required for your donation.
If you would like to donate by phone via credit card, please call 1-833-5NEWLIF (1-833-563-9543) ~OR~ 513-996-1841.
Today’s Date: ________________________________________________________________ Amount of Check: $_________________________________ payable to Reconstructing Life.
Donor Name: _________________________________________________________________
Organization Name (if applicable): ________________________________________________
City: _____________________________ State: ____________________ Zip Code: ________
Email: (optional) ______________________________________________________________
Telephone Number: (optional)__________________________________ □ Home □ Mobile
□ Yes, you may contact me via phone with future ways to get involved with the Reconstructing Life Program.
Please know that your donation will be applied where it is needed most and will benefit participants of the program if a specific cause is not indicated.
Your questions and feedback are very important to us. Please feel free to contact us at reconstructinglife.org or call 1-833-5NEW LIF (1-833-563-9543).