Donation Form for Postal Mail or FAX

Date:  
Your Name:  
Company/Organization  
E-mail Address:  
Donation Amount:  

If you are paying by Credit Card
Please Check One:
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Credit Card Number:  
Expiration Date:  
CVV2:(help)  
Card Holder's Name:  
Card Holder's Street Address:  
Card Holder's City:  
Card Holder's State:  
Card Holder's Zip:  
Card Holder's Country:  

Donations will be used based on the needs of Our Children's Homes

Send to: The DHS Club - C/O The DHS ClubKids - 2560 Placida Road - Englewood, FL 34224 USA
Fax Number: 941-475-4081

Thank you for Donating