Memorial Donation Form
Fill out, print, and mail to:
Raphael's Refuge, P.O. Box 341, Flatonia TX 78941-0341
| In Memory of: | ||
| Amount of Donation: | ||
| Name of Donor: | ||
| Street or Box: | ||
| City, State, Zip | ||
| Phone Number: | - - | |
| Acknowledgment to be sent to: | ||
| Name: | ||
| Street or Box: | ||
| City, State, Zip | ||
Raphael's Refuge is a non-profit 501(c)(3) organization. Donations
are tax-deductible to the extent allowed by law .