Solutions accepts gifts in memory of someone who has died or in honor of a special occasion such as a holiday, birthday, anniversary, or graduation. You can also give a gift just to say "thank you." We will send a card to the person honored or the family of the person being memorialized.

Please fill out the form below, and mail it, with your check or credit card information, to:

Solutions at Work
P.O. Box 391349
Cambridge, MA 02139

My gift of $________________ is:

__ In Honor of ______________________________________________

__ In Memory of ____________________________________________

Please send a card to:

Name: ____________________________________________________

Street: ____________________________________________________

Town, State, Zip: ___________________________________________

Saying: _________________________________________________________

___ I have enclosed my check payable to Solutions at Work

___ Please charge my _____ VISA or _____ MasterCard

Card No :__________________________________________________

Exp. Date :________________

Signature :_________________________________________________

My contact information:

Name:__________________________________________________

Address:________________________________________________

City:_________________________State:__________Zip:_________

Phone:______________________________________

Email:_______________________________________

_____ Please do not include my name in published lists of supporters
         (in the annual report or newsletters).

Thank you very much.