Please make your check payable to:

Housing Options Made Easy, Inc.
75 Jamestown St.
Gowanda, NY 14075

How much would you like your tax detectable donation to be? (check one)

$1000 ____  $500 ___  $100 ____  $50  _____  $25 _____ Other __________

Please check type of donation you are making: 

_______ My check is enclosed.

_______ I would like help with estate planning.

_______ How can I provide housing opportunities?

(If you are considering including Housing Options in your estate,
or have property to donate, please contact us for an appointment.)

Please direct my donation towards: 

This gift is:   _______ In Memory of    Name ____________________________

_______ In Honor of     Reason ___________________________

_______ On the occasion of (Anniversary, etc)

Would you like us to contact you?   _____ Yes   _____ No

I would like my donation used for the following programs:

_____ Use funds to support all program. _____ Education and/or Anti-Stigma program

_____ Use funds for Homeless and Supported Housing Programs.

_____ Use funds for Housing Options Program on Location _____________________

First Name __________________________Last Name _______________________

Address ______________________________________________________________

City _________________________________ State ______ Zip ______________

Home Phone _______________________ Work Phone ________________________

Email Address ________________________________________________________

Large donations($500 plus) will receive a “Proof of Donation” letter for the IRS.