ÿþ<html><!-- #BeginTemplate "/Templates/index.dwt" --><!-- DW6 --> <head> <!-- #BeginEditable "doctitle" --> <title>Hope House Ministries</title> <style type="text/css"> <!-- --> </style> <!-- #EndEditable --> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <link rel="StyleSheet" href="styles.css" type="text/css"> </head> <body bgcolor="#FFFFFF" background="images/hopeback.jpg" link="#333333" vlink="#333333" alink="#660000"> <table width="643" border="0" cellpadding="0" cellspacing="0" align="center" class="mainTable" > <tr> <td><img src="images/border_top.gif" width="643" height="25"></td> </tr> <tr> <td> <table cellpadding="0" cellspacing="0" border="0"> <tr> <td width="3" bgcolor="#630000"><img src="images/back_red.gif" width="3"></td> <td width="185" bgcolor="#E7E7E7" align="center" valign="top"> <a href="index.html"><img src="images/toplogo.gif" width=185 height=145 border="0"></a> <br> <p><a href="index.html"><img src="images/nav_mission.gif" alt="Statement of Mission" width="158" height="17" border="0"></a></p> <p><a href="message.html"><img src="images/nav_message.gif" width="158" height="76" border="0" alt="Message from Father Frank"></a></p> <p><a href="ministry.html"><img src="images/nav_ministry.gif" width="158" height="19" border="0" alt="The Ministry"></a></p> <p><a href="testimonials.html"><img src="images/nav_testimonials.gif" alt="Ministry Testimonials" width="158" height="19" border="0"></a></p> <p><a href="news.html"><img src="images/nav_news.gif" width="158" height="13" border="0" alt="News"></a></p> <p><a href="upcoming.html"><img src="images/nav_upcoming.gif" width="158" height="20" border="0" alt="Upcoming Events"></a></p> <p><a href="contact.html"><img src="images/nav_contact.gif" width="158" height="13" border="0" alt="Contact Us"></a></p> <p><a href="endowment.html"><img src="images/nav_endowment.gif" width="158" height="13" border="0"></a></p> <p><a href="endowmentevent2012.html"><img src="images/nav_event2012.gif" alt="2012 Endowment Event" border="0"></a></p> <p><a href="wishList.html"><img src="images/nav_wishlist.gif" alt="Wish List" border="0"></a></p> <p><a href="help.html"><img src="images/nav_donate.gif" width="158" height="14" border="0" alt="Help Us"></a></p> <p><a href="http://www.goodsearch.com/" target="_blank"><img src="images/goodsearch.gif" alt="GoodSearch" border="0"/></a></p> </td> <td width="452" bgcolor="#FFFFFF" valign="top"><p align="right"><img src="images/lifesacred.gif" width="295" height="35"></p> <table width="100%" border="0" cellspacing="0" cellpadding="10" align="center"> <tr> <td> <!-- #BeginEditable "Text Area" --> <table border="0" cellspacing="0" cellpadding="0" align="center"> <tr> <td> <div align="center"> <p align="center"><b><font face="Georgia, Times New Roman, Times, serif" color="#660000" size="+1"><img src="images/title_help.gif" alt="You Can Make a Difference" width="298" height="29" /></font></b></p> <p class="sectiontitle" style="margin-top: 0; margin-bottom: 0;">Make a Gift</p> </div> <br /> <form method="POST" action="ProcessDonation.asp"> <table width="100%" border="0" cellspacing="0" cellpadding="3"> <tr> <td width="35%"> <div align="right"> <b>Donor Name:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="DonorName" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Address:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="DonorAddress" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>City:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="DonorCity" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b><font size="2" face="Georgia, Times New Roman, Times, serif">State:</font></b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><b><input type="text" name="DonorState" size="6" /></b></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Zip:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="DonorZip" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Telephone:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="DonorTelephone" size="20" /></font></td> </tr> <tr> <td colspan="2"> <br /><br /> <p align="center">Is this gift in memory of or in honor of someone special?</p> </td> </tr> <tr> <td width="35%"> <div align="right"> <b>Name of deceased:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="NameOfDeceased" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Name of honoree:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="NameOfHonoree" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Occasion:</b> </div> </td> <td width="65%"> <font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="Occasion" size="20" /></font> <br /> <div style="font-size: 10px; font-style: italic;">(i.e,Birthday, Anniversary, Get well soon)</div> </td> </tr> <tr> <td colspan="2"> <br /><br /> <p align="center">Name and address of family or friend to receive acknowledgment:</p> </td> </tr> <tr> <td width="35%"> <div align="right"> <b>Name:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="AcknowledgeName" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Address:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="AcknowledgeAddress" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>City:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="AcknowledgeCity" size="20" /></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b><font size="2" face="Georgia, Times New Roman, Times, serif">State:</font></b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><b><input type="text" name="AcknowledgeState" size="6" /></b></font></td> </tr> <tr> <td width="35%"> <div align="right"> <b>Zip:</b> </div> </td> <td width="65%"><font face="Arial, Helvetica, sans-serif" size="2"><input type="text" name="AcknowledgeZip" size="20" /></font></td> </tr> <tr> <td colspan="2"> <center> <p style="margin-top: 0;"><input type="checkbox" name="PleaseSendMoreInfo" value="checkbox" />Please send me more information on Hope House Ministries.</p> </center> </td> </tr> </table> <p align="left"> <br /> <i><b>Please note: The acknowledgment sent to the family/friend will only include the donor s name and who the gift was made in honor/memory of, but will not state the amount of the gift.</b></i> <br /> <i><b>Please confirm all data is correct. Upon submitting this form you will be rerouted to a PayPal page to collect your donation amount and payment information.</b></i> </p> <p align="center"><input type="Submit" value="Submit Information" /></p> </form> <br /><br /> <p align="center" class="sectiontitle" style="margin-top: 0;">To Become a Volunteer</p> <p align="center" style="margin-bottom: 0;"><b>If you would like to donate your time and talents to HHM please call</b></p> <p align="center" style="margin-top: 0; margin-bottom: 0;"><b>Joanne D'Aquanno (631) 928-2377 ext. 34</b></p> </td> </tr> <tr> <td>&nbsp;</td> </tr> </table> <!-- #EndEditable --> </td> </tr> </table> <p align="center"><img src="images/houses.gif" width="120" height="120" border="0"><br> <br><br></p> </td> <td width="3" bgcolor="#630000"><img src="images/back_red.gif" width="3"></td> </tr> </table> </td> </tr> <tr> <td><img src="images/border_bottom.gif" width="643" height="23"></td> </tr> </table> </body><!-- #EndTemplate --> </html>