YES, I WANT TO HELP
I HAVE ENCLOSED MY CHECK FOR $____________________________________

PLEASE CHARGE MY CREDIT CARD $____________________________________

Indicate card type below:

VISA ___   MASTER CARD ___   DISCOVER ___

CARD NUMBER _____________________________  EXPIRATION: ____/____

NAME:    ______________________________________________

ADDRESS: ______________________________________________

         ______________________________________________
                
Print and mail this form along with your donation to:
                
    Holiday Helpers, Inc.
    P.O. Box 177723
    Irving, TX  75017-7723
                
    If you have questions or require confirmation, please call
    Carolyn Dickey, President and Founder of Holiday Helpers,
    at (972) 313-0014 or (972) 579-8801