BHI Donation Form

Would you like to make this donation in your name,someone else's or both?

Is there a particular program that you would like to assign your donation to?
Yes
No

If Yes, Which program(s) would you prefer that your
donation be applied to ?

Please select your choice(s):

Specialized Womens'Outpatient Program (SWOP)
Specialized Mens'Outpatient Program (SMOP)
Specialized Trauma Interventions Program (STIP)
Co-Occurring Disorders Interventions Program (CDIP)
Safe Circle Mentoring & Support Program (SCMS)
Specialized Convalescence Interventions Program (SCMS)
Does not matter (DNM)

Please feel free to express your choice of how we should use your gift in a detailed request:

Thank you for the benevelence of your kindness and consideration which obviously motivates the consdierations of your gift.

We cherish your choice to support our mission, by way of your donation.

As part of our appreciation to you, please look foward to documentation of your generousity via a reciept of your kindness to be promptly sent to you, via your chosen source of communication(s).

If you have any questions or comments regarding your welcomed and appriciated support of the BHI mission, Please contact us at hmangrum01@bhiogstl.org

Thank you

Sincerely,

Harold Mangrum

Harold Mangrum

Chief Executive Officer

Behavioral Health Interventions of Greater St. Louis

© 2022 Behavioral Health Interventions of Greater St. Louis Inc. All Rights Reserved

Behavioral Health Interventions of Greater St. Louis

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BHI Donation Form

Please feel free to express your choice of how we should use your gift in a detailed request:

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