Donation & Sponsorship Form

Name:
Full Address:
Email Address:
Phone Number:
How would you like to help? Choose an option below:
	I would like to help provide sustainability for the Harp Therapy Program by donating   Monthly   Annually
	I would like to help now by donating once only.
	I would like to provide Therapeutic Harp CDs, Marilyn Bulger’s “Starblanket” to be given to patients in need with my donation of (CD’s are $20.00 each).

An official tax receipt will be issued for amounts of $20.00 or more.
Please print & mail your completed form and cheque or money order to:
Grace Lutheran Church, 102 Sunwapta Drive, Hinton, Alberta, T7V1G3. Note “Harp Therapy Program” in the memo line of the cheque.
Thank you for supporting Harp Therapy. Our hope is to develop harp therapy as a sustainable asset in our community.