Please print the form below and send it to:

New Hampshire Dream Factory
PO Box 620
Derry, NH 03038

Thank you for your support!

Name ________________________________

Address_______________________________

City, State, Zip__________________________

Donation Amount________________________

Would you like a receipt?_________________

Any donations to The New Hampshire Dream Factory is tax deductible.

Please make checks payable to The NH Dream Factory.
Anonymous donations are also gladly accepted.