Donation Form
Please print & mail this completed form along with your donation to:
Reconstructing Life
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): ________________________________________________
Address: ____________________________________________________________________
City: _____________________________ State: ____________________ Zip Code: ________
Country: _____________________________________________________________________
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.
CAUSE:__________________________________________________________________________________
_______________________________________________________________________________________
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).