Wood Lane Residential Services, Inc
“Making a House a Home”

	Make check payable to: 
	Wood Lane Residential Services, Inc.  or  (WLRS)
	Attn: Tonia Peters
	545 Pearl Street
	Bowling Green, Ohio 43402


Yes, I want to support WLRS, Inc. with the enclosed gift of:

	$25     $50     $100     $500     $1,000     $_______ other

	Name__________________________________________________
	(As you would like it to appear in the List of Donors)

	Address________________________________________________

	City_______________________ State_________ Zip____________


WLRS, Inc. is a Not-for-Profit 501(c)(3) organization.  Contributions are tax-deductible and will be promptly acknowledged.  Thank you for your support!


Please apply my donation to:

	Vacation Fund		Limping Wolf Fund 
	
	Respite Fund 		Recreation Dept Fund	   General Fund	

	Home Fund		Other__________________


Honor/Memorial Gift:

	In memory of ______________________________________________

	In honor of ________________________________________________

	On the occasion of __________________________________________