WILL CONFIRMATION FORM

A gift in your Will is a simple, yet thoughtful way to ensure the long-term
financial well-being of St. Martin’s Hospitality Center (hereinafter “St. Martin’s”).
	____I have already included St. Martin’s in my Will.
	____I intend to include St. Martin’s in my Will.


INFORMATION ABOUT YOU

	Name:__________________________________________________
	Address:________________________________________________
	City, State, Zip:___________________________________________
	Telephone (Home): _______________(Work):__________________
	E-mail address:__________________________________________
	Birth date(s) (dd/mm/yy):___________________________________
	Signature of donor(s):_______________________Date:__________
	   	                   _______________________


DESIGNATION OF YOUR GIFT:
Unrestricted gifts allow St. Martin’s to change with the times.
However, we would be pleased to designate your gift to a specific area
if you prefer.  Please indicate your preference:
	____Where the need is greatest.
	____Day Shelter
	____Behavioral/Mental Health
	____Outreach
	____Substance Abuse Treatment
	____Employment Services
	____Self-Sufficiency
	____Intake and Assessment
	____Program Housing
	____Job Placement