The Haiti Project Commitment Form

If you are interested in learning more about the Haiti Project or any of our current programs, or if you would like to make a commitment to contribute you prayers, time, or donations please complete the following form and we will contact you.

Name:

Street Address:        
2nd line (if needed): 

City:   State:    Zip:

E-mail address:

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I'm interested in the Haiti Project and want to learn more. 
        Please contact me by email at the address I've given above.

I'm interested in the Haiti Project and want to learn more. 
        Please contact me by phone at:  Area code: Phone #

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I WISH TO MAKE THE FOLLOWING COMMITMENT OF SUPPORT:

  I will pray for the people of Haiti, the OMOS Haiti Project, 
            and our Haiti Project Minister, Joan Martin.

  I would like to make a donation to the Haiti Project:

One-Time Donation:

Sustainable Donation: per month for 6 months

Sustainable Donation: per month for 12 months

Check here if you would like us to send you a set of envelopes for your monthly sustainable donations.

I would like my donation to go towards:    (you may select as many as you wish)

The Nutrition Program
The Teacher-to-Teacher Project (for donations, please use the Teacher-to-Teacher Form)
Parish Sisters Support Project
Pastoral Needs Support Project
Wherever needed most!

ADDITIONAL COMMENTS, QUESTIONS, or REQUESTS:  

After you submit the form, someone from the Haiti Project Committee 
will contact you within a few days to follow-up.

    THANK YOU & BLESS YOU!