You Can Help Too

To request additional information, please print out and complete this form. Any information you provide will be kept confidential and used exclusively by Guest House.

Mail to: Development & Public Relations, Guest House, Inc., 1601 Joslyn Road, Box 420, Lake Orion, MI 48361

or FAX to: (248) 391-0210



PLEASE SEND ME MORE INFORMATION ON:



___ Stock Gift                        ___ Endowment Gift         


___ Bequest                           ___ Life Insurance         


___ Charitable Remainder Trust        ___ Charitable Gift Annuity

     


Title (Mr, Mrs, Miss, etc.) ______________________________________


First Name:_____________________   Last Name:_____________________


Address Line 1:___________________________________________________


Address Line 2:___________________________________________________


City:_________________________________   State:___________________


Zip:____________   Country:_______________________________________


TELEPHONE:(______)-______-________    FAX:(______)-______-________

Thank you for visiting Guest House