One-Time Donation by Check

1. Please complete the following form:

* Indicates required questions
Please fill out the form below to notify us of the donation.
Name *
First Last
Address *
City *
State *
Zip/Postal Code *
Phone # *
Email *
Amount you will be donating at this time: *
Other - Please specify:
Enter the check number so we can easily keep track of your payment: *
My gift is in dedication of someone special for:
If dedicating this gift, enter their name.
Include address if you would like an acknowledgment letter sent.
Enter code in image:

2. Send your check to:

145 E. Center St., Suite E
Northville, MI 48167

Please make check payable to:

New Hope Center, and include the reason for your payment on the memo line of your check.