Heart to Heart
Donation Form

The "WAITING HEART'S CLUB" is a way to help infants, toddlers and children who have NOT YET BEEN ADOPTED, to assist BIRTH MOTHERS who have agreed to put their unborn child up for adoption as well as families that would like to adopt but financially are not able to.

Any family who has adopted a child or is currently in the adoption process through Heart to Heart may assist waiting children, birth mothers and families by donating baby clothing, medical supplies etc. Other interested families may monetarily contribute to the needs of children's orphanages in countries we have programs in.

Heart to Heart works with multi-service organizations that provide health, nutritional service and more in both residential and out-patient settings to many birth mothers and children.

"WAITING HEART'S CLUB" donors will send their contributions to Heart to Heart Adoption. We will prepare small gift boxes and our couriers will take these to countries that are in need of these items. Monetary donations will be held for families wanting to adopt.

All contributions are tax deductible!

Personal Information (*Indicates Required)
Name:*
Address:*
City:*
State:*	Zip:*
Phone:*
Email Address:*

What Would You Like To Donate?
Clothing Medical Supplies Bedding Toys Diapers/Wipes Formula
Other

Comments:

Would You Like To Make A Monetary Donation?
Yes No
If yes Print this page and send check or money order to: 10720 Santa Laguna Drive ~ Boca Raton, Florida 33428* Make Checks/Money Orders Payable to: Heart to Heart Adoption Attn: Waiting Hearts Club

After you click "Submit", a window will appear enabling you to print your donation registration. Send copy of form with donations.