Honorary Donation Form

Fill out, print, and mail to:

Raphael's Refuge,  P.O. Box 341, Flatonia TX  78941-0341

Person or Event:
Amount of Donation:
Name of Donor:
Street or Box:
City, State, Zip
Phone Number: - -
E-mail Address:
Acknowledgment to be sent to:  
Street or Box:
 City, State, Zip

Raphael's Refuge is a non-profit 501(c)(3) organization. Donations are tax-deductible to the extent allowed by law .