Reiser Relief Mail In Donation Form

1. Reiser Relief Inc.
c/o Father Bernard Reiser
1800 - 111th Avenue NW, #320
Coon Rapids, MN 55433
A mission to help the impoverished people of Haiti with a focus children
and families, providing clean water, food, housing and education.
Please check appropriately and enter your credit card information.
CVV2 is a 3-digit number at the end of the credit card number on the signature panel on the back of
the credit card, and 4 digits on the front of an American Express card
Thank You for your gift!
"Please know that your donations are handled with great care!"
Your donations are 100% tax deductible.
Reiser Relief Inc. is a registered 501(c)(3) non-profit charitable organization.
A receipt will be mailed to you for tax purposes.