Sign Up For Our E-Bulletin
[ Help Now! ]
[ Kokomo Rescue Mission ]
Untitled Page

Yes, I want to help hurting and homeless men, women and children in Kokomo and surrounding communities.
Through your secure on-line credit card donation server.
Please send me an invoice by mail.
Please use my gift:
 Where it is most urgently needed.
For this Special Event/Project:
The amount of this gift is:
If other, please specify:
Please deduct the following amount from my credit card monthly:
I am interested in knowing more about Electronic Funds Transfer (EFT)
Contact Information:
First Name(s):
Last Name:
Organization: (if not an individual donor)
Street Address:
City:
State:
 Zip:
Telephone:
E-mail:
Payment by:
 Mastercard  Visa  Discover
Name as appears on Card:
Card Number:
Expiration date:
Comments:
I am making this gift:
in honor of:
in memory of:
Please mail an acknowledgement of my gift to:
Name:
Street Address:
City:
State:
 Zip:






Secure Site

 
  Kokomo Rescue Mission, 321 W Mulberry Street, Kokomo, IN 46901
  Phone: (765) 456-3838 - Fax: (765) 457-5794