Homer Seniors Citizens Donations Form
Print this form and Please send donation with this form to:

 Homer Senior Citizens, Inc.
3935 Svedlund
Homer, Alaska 99603
Phone 907-235-7655

Homer Senior Citizens provides seniors with congregate and home delivered meals, transportation, recreational activities, education, support services, independent housing, assisted living and adult day services. Donations are important to all of these programs.

Monetary Donation
I would like to make a donation in the following amount $______________________ . My donation is enclosed.

Volunteering
Please contact me to discuss ways that I can volunteer time. Yes_____ No_____

Donation of an item or property
Please contact me as I would like to donate the following:__________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Your Name___________________________________

Address____________________________________ City__________________ State_________ ZIP_________

Phone___________________________

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