Please print and fill out the Donation Form below
and mail it to:

84 Ellsworth Blvd
Kensington, CT 06037-2728

Please make your check payable to: Our Home-Mer Doon, Inc. 

Thank you for your generous donation!

Name:_______________________________________________________________

Street:_____________________________________________________________

City:______________________________________________________________

State:_________  Zip:__________

Email: _________________________________

Phone:  (____) _________________________

I am enclosing my donation payable to Our Home-Mer Doon, Inc.

$5000____ $2500_____ $1000____ $500____ $250____ Other____

I want to participate in a fund raising activity for Mer Doon. Please contact me. ____