Heifer International Foundation
General Giving Form
DONOR
Title __________ Name ______________________________________________________
Address_____________________________________________________________________
City_____________________________State________________Zip____________________
Email Address _______________________________________________________________
Gender
 Male
 Female
Phone___________________________________
THE GIFT: designated for the _______________________________________________ Endowment
Undesignated gifts will be placed in the general endowment and used where most needed.
 Check enclosed for $ _______________
 Wire Transfer for $ ______________ (instructions below) Transfer Date: ___________
If this gift is being made in someone’s honor or memory, please complete the following:
 In Honor of:
Title ______ Name ________________________________________
Relation to Donor __________________________________________
 In Memory of:
Title ______ Name ________________________________________
Relation to Donor __________________________________________
Gift Acknowledgement to be mailed to:
Title ______ Name ___________________________________________________________
Address_____________________________________________________________________
City_____________________________State________________Zip____________________
Gender
 Male
 Female
Date_________________Signature______________________________________________________
Thank you for partnering with us in our mission to end hunger and poverty and care for the earth. Your
generous gift will help provide poverty stricken families with the means to better their lives, sustain
themselves, and strengthen their communities for generations to come through the work of Heifer
International.
Cash Wiring Instructions:
Bank: Citibank, New York
ABA Routing Number: 021000089
Account Name: Morgan Stanley Wealth Management
Account Number: 40611172
Further Credit Account #: 307-053829
Further Credit Account Name: Heifer International Foundation
1 World Avenue ♦
PO Box 727 ♦ Little Rock, AR 72203
www.heiferfoundation.org
♦
1-888-422-1611