I would like to make a gift to the Renewal House annual fund.

My name: _________________________

My address: __________________________________________

My phone: ____________________

My e-mail: _____________________

In honor of: _____________________

In memory of: ___________________________

Occasion (Mother’s Day, Father’s Day, birthday, etc.):

Acknowledgment card address:

Gift amount: ___$25   ___$50  ___$100   ___$250   $_____

Charge to Visa/Mastercard #______________Exp._______

Make checks payable to:

Renewal House
P.O. Box 280356
Nashville, TN  37228

Fax is 255-4090.

Call 255-5222, ext. 106 for information.