My Sisters' Place, Inc Ending Homelessness... Supporting Independence... Transforming Lives...
Donation Form
Home
10 Reasons to Make a Donation to My Sisters' Place
About Us
Programs & Services
Get Involved
News & Events
Donation Form
Contact Us
 

 

My Sisters' Place has established a Leadership Level of Giving Society entitled the Mary Townsend Seymour Society (May 1873-January 1957) .   We chose to honor Ms. Seymour in this way because of the example she set for others.  Ms. Seymour fought for the rights of the underprivileged especially impoverished mothers and their children. 

Our Leadership Giving Program brings leaders together to set a powerful example for others to follow.  With your contribution of $1,000 or greater, you join other charitable contributors in making positive changes in the lives of the women and children in our care. 

Making a contribution to My Sisters' Place is easy.  Here's all you need to do:

  • To make a donation on-line, please click the icon to the right entitled Donate Now!  - or-

  • Print this form and mail your contribution to My Sisters' Place, 102 Pliny Street, Hartford, CT 06120   -or-

  • You may also contact Lynn Rossini at (860) 549-1634 if you would like to donate by credit card via the phone.   -and-

  • If you are interested in becoming a member of our Mary Seymour-Townsend Leadership Giving Society, click the Donate Now feature in the upper right hand corner of this screen or print out the information below and mail your contribution to us.

Please feel free to contact Lynn Rossini with any comments or questions you may have about My Sisters' Place.  You can contact Lynn at lrossini@sistersplacect.org or (860) 549-1634.

My Sisters’ Place thanks you for your generous support.

 

I would like to become a member of the Mary Townsend-Seymour Society.  Please accept my pledge in the amount of: 

 

(  ) Emerald Level $15,000 or greater

(  ) Diamond Level $10,000 - $14,999

(  ) Platinum Level $5,000 - $9,999

(  ) Gold Level $2,500 - $4,999

(  ) Silver Level $1,500 - $2,400

(  ) Bronze Level $1,000 - $1,499

(  ) other amount ___________

 

(  ) My check is enclosed.

(  ) Please charge my credit card
       (  ) VISA 
       (  )  ] MasterCard

 

Card Number: ________________________
Expiration: _________

Signature: ___________________________

Name:

_________________________________________

Company (if applicable):

_________________________________________

Address:

_________________________________________

City, State, Zip:

_________________________________________

Phone:

_________________________________________

Fax:

_________________________________________

E-mail:

_________________________________________

If your company has a Matching Gift program, please include any required forms.
 

Please mail or fax this  form to:
Lynn Rossini Development Director
My Sisters’ Place
102 Pliny Street
Hartford, CT 06120

Fax:  860.549.5766
Phone:  860 549-1634

| Home | About Us | Programs & Services | Get Involved |
 |
News & Events | Donation Forms | Contact Us |

© 2005 All rights reserved. My Sisters' Place, Inc.

Site donated by: CT Web Factory, LLC CT Web Factory, LLC.