Yes, I want to support Fessenden House:

Please print and complete this form, enclose check or money order (credit cards must be processed over the web as they are not accepted by mail).  Make checks payable to Fessenden Supportive Housing and mail to:  

Attn:  Brother Christopher Stephen Jenks, BSG

Fessenden House

236 Warburton Ave.

Yonkers, New York 10701-2226

Ph: (914) 966-8051

Fax: (914) 965-8631

I wish to contribute:

$10,000 per year for ____ year(s)

$5,000 per year for ____ year(s)

$1,000 per year for ____ year(s)

Contribute $_______ for _____ mo./year(s)

I've selected the giving option of donating $___________ monthly for ___________ months.  (Please charge my credit card automatically at the beginning of each month.)

My company will match my gift.  The necessary paperwork is (circle one): Enclosed / Sent separately.

I'd rather transfer stock.  Call me at (      ) ____________________

Please be sure to complete all information below.

First Name ____________________________

Last Name ____________________________

Address ____________________________

City ____________________________

State ____________________________

Zip ____________________________

Country ____________________________

Telephone ____________________________

Email ____________________________

I want my gift to be made:  (Please check one)

in honor of    in celebration of    in memory of

Print Name: _____________________________________

I prefer that my name not be listed for donor recognition.

Thank you for your contribution.