Please print this form and send to the address below-

Becoming a donor: Individual $25-$50 or Sustaining $100 or more.

    Becoming a volunteer.

    Getting to know more about your education and prevention programs.

    Scheduling a speaker for my group or organization.

    Enclosing my tax deductible gift to Miracle Recovery Center of .

    send check or money order to:  

   Miracle Recovery Center, Administrative Office, 1997 E. Main St., Ventura, CA 93001.

            Please Provide your contact information below

            Name:

            Phone: Organization (if any):

            Address:

            E-mail:

 Miracle House, Inc. is a non-profit, tax-exempt corporation under section 501(c) 3 of the IRS code.