Grief Survivors Therapeutic Network, Inc.

P.O. Box 370734

Decatur, Georgia 30037

Phone: 404-420-4371

E-mail:

 

Donation Letter

 

Name: _______________________________________________________________

 

Address: _____________________________________________________________

 

City: _______________________State: _________________________Zip: ________

 

Telephone: _________________________Fax: _______________________________

 

Make your tax-deductible donations payable to: Grief Survivors Therapeutic Network, Inc. (Online donations welcomed.)

 

 

Enclosed is my gift of:

 

□ $1000   $500  □ $250 □ $175 □ $100 □ $50 □ $25 □ $______  

 

I'm giving in loving memory of:

Name: _____________________________ Relationship:__________________________

 

 

Thank you for supporting Grief Survivors Therapeutic Network, Inc.