Cape Fear Habitat for Humanity

GroundBreakers Club Pledge Form

Cape Fear Habitat plans to build 12 houses in 2006. A GroundBreakers Club Member pledges a minimum of $50.00 (or more) every time ground is broken for a new home. 

Yes!  I pledge to donate $__________ each time Cape Fear Habitat for Humanity breaks ground on a new build site.

Name:____________________________________________________________________________

Company Name:____________________________________________________________________

Address:__________________________________________________________________________

Phone:______________________________Email:_________________________________________

Website (if applicable):_______________________________________________________________

Payment Method

   _____ Check     _____ Visa     _____MasterCard        _____ Discover   ________Invoice Me

Make Checks Payable to:  Cape Fear Habitat for Humanity

Card # _____________________________________Expiration Date ________________ 

Name of Card Holder _______________________________________________________

Address of Card Holder _____________________________________________________

                                         _____________________________________________________

Mail to:  1208 S. Third Street, Wilmington, NC  28401  (Attn: GroundBreakers Club)

or

Fax to:  762-0734 (Attn: GroundBreakers Club)