Company_____________________________________________________________________________
Address_______________________________________________________________________________
City/ST____________________________________
E-mail____________________________________
Phone__________________________________
Name________________________________________________________________________________
Zip/postal code___________________________
Please print name and address
Your tax-deductible gift will help us provide for the needs of all the women who come to stay at Gateway of Hope House of Restoration!

Your Partnership will help us provide women with clothes, sheets and toiletries, food and beverages etc. Or you can donate towards the up-keeping of the house.

You can also become a sponsor or a mentor for one of the women by providing a monthly gift of $300.00 and send cards of encouragement and support.  (All cards will be read by a staff member for their protection.)




Remember all donations are tax-deductible.

Join us in helping women to reclaim their lives!




I would like to donate:

$15.00 a Month ______$25.00 a Month ______$50.00 a Month ______


$100.00 a Month _____$200.00 a Month _____$300.00 a Month _____


$400.00 a Month _____$500.00 a Month _____$1000.00 a Month ____


I would like to donate: (If different from the amounts above)


$__________a Month or a onetime gift of:___________



I would like to be a sponsor and a mentor ______ for $360.00 a Month

I would like to send letters of encouragement to one of the Ladies ______ with my monthly donation



Make Check Payable to:

Gateway of Hope House of Restoration (If the full name does not fit put... Gateway of Hope House)

And mail to

Gateway of Hope House of Restoration
P.O. Box 175
Buchanan, N.Y. 10511.

If you would like to pay by Credit Card or PayPal go to the link below.
All your personal information is kept confidential
Gateway of Hope House of Restoration
Printable Application

Remember to print a copy for your records!
As You Bless Gateway of Hope House of Restoration And The Women ComingTo Our Home You to Will Be Blessed
Thank You For Your
Generous Donation
I have enclosed a check or money order payable to Gateway of Hope House of Restoration. I understand that my donation is tax deducctible.