Groundbreakers’ Club
(Please print this form and mail to the address below)

Yes! I would like to become a member of the Groundbreaker's Club :
  

I/we pledge to support Sarpy County's Habitat for Humanity on a sustaining basis and contribute the following amount each time ground is broken on another Sarpy County Habitat home.
 

Name     

Address     

City     

State     

Zip  

   

E-mail     

My Groundbreakers' Gift per House Built:

Bronze giving level:    

$50         $75               $   Specify
Silver giving level:     $100     $200             $   Specify
Gold giving level:     $300     $500             $   Specify
Platinum giving level:     $750     $1,000          $   Specify
I will donate the above amount
for every groundbreaking             other
  My check is enclosed.  
  Please charge my credit card  
  VISA MasterCard Discover American Express

Card No  

  Exp Date 

Signature:

________________________________     Date

You will be sent a reminder of your commitment each time ground is broken for a Habitat home.
 
Return this form to:
Habitat for Humanity of Sarpy County
PO Box 1664
Bellevue, NE 68005-1664
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Matching Gift Information

Check with your company to see if they will match your contribution. You can make your gift to HFH of Sarpy County doubly effective. Many companies match employees’ tax deductible contributions with a corporate gift. Each dollar you donate is increased by a matching gift from your employer providing additional funds for Habitat’s program. Contact your employer for forms and instructions.
 
Just print out this form with your companies' information and enclosed it with your contribution form.

Signature ______________________ & Position Required _________________