All donations to The Homer Fund will directly help associates in need. Gifts are tax-deductible*, and The Home Depot Foundation will match gifts between $25 and $1,000, up to $3 million.

To donate, please complete the form and return it to your captain for processing. Captains will sign and keep the top copy and return bottom copy to the associate. If you prefer to submit your online donation yourself, visit THDHomerFund.org/donate. Captain cannot enroll an associate without the associate’s signature.

ASSOCIATE NAME DATE

ASSOCIATE ID# or LDAP

STORE OR LOCATION #

ASSOCIATE SIGNATURE

CAPTAIN SIGNATURE

*The Homer Fund is a 501(c)(3) charity (Tax ID #: 58-2491657). Donations to The Homer Fund are tax deductible.

Captains retain top copy; associates retain bottom copy

*The Homer Fund is a 501(c)(3) charity (Tax ID #: 58-2491657). Donations to The Homer Fund are tax deductible.

Captains retain top copy; associates retain bottom copy

I gave my captain, permission to

to enroll me as a Homer Fund donor on

the right.

in the method recorded on

,

HOMER FUND DONATIONS

ASSOCIATE RECEIPT

Captain Copy

Associate Copy

NAME

DATE

CAPTAIN’S NAME

ASSOCIATE SIGNATURE

Associates: Please sign and keep this portion of the form as a record of your donation.

at heart

be

I WILL SUPPORT THE HOMER FUND BY ...

RECURRING PAYROLL DONATIONS

$5 per paycheck

$10 per paycheck

$20 per paycheck

$_____ per paycheck

ONE-TIME DONATIONOne-time payroll deduction $____

Check donation $____

I acknowledge my donation is voluntary.

THDHomerFund.org770.384.2611

I WILL SUPPORT THE HOMER FUND BY ...

RECURRING PAYROLL DONATIONS

$5 per paycheck

$10 per paycheck

$20 per paycheck

$_____ per paycheck

ONE-TIME DONATIONOne-time payroll deduction $____

Check donation $____

I acknowledge my donation is voluntary.

THDHomerFund.org770.384.2611