Please print and fill out the following form. Our mailing address appears below.

The Mountain Hermitage is a not-for-profit 501C3 charitable organization. All donations are tax deductible as allowed by law.

Thank you for your kind offering.

General Fund:

$100 $75 $50 $25 $Other______


Teacher Fund:

$100 $75 $50 $25 $Other______

 

Scholarship Fund:

$1700 for one Full Scholarship

$850  for one Half Scholarship

$100 $75 $50 $25 $Other______

 

In Honor of:___________________________


Name______________________________________________________________

Address____________________________________________________________

City_______________________________State_______________Zip___________

Country__________________

Tel_______________________________Email_____________________________

 
The Mountain Hermitage
PO Box 807
Ranchos de Taos, NM 87557
575-758-0653
hermitage@mountainhermitage.org