Response Form

Please note: This Response Form must be printed out and sent via regular mail, along with the suggested donation, in order to activate daily prayer work in your behalf (see options below). Rent-A-Monk is unable to accommodate online orders for prayer services.

After you print the form below, please mark the appropriate box, fill in your (confidential) contact information, and mail it with your check made out to: Heartwings Foundation, P.O. Box 31161, Seattle, WA 98103.

Upon receipt of your completed form and donation in the mail, your daily prayer service will begin immediately. Rent-A-Monk will also send you a personal acknowledgment along with two Special Request Focus Cards (see below).

Thanks for giving Rent-A-Monk the opportunity to serve you in this sacred way.

	Basic Package: Includes daily prayer work in your behalf, plus two Special Request Cards to keep or return. A personal note will be sent to you in the fifth week, along with a new Response Form for optional renewal. Seven weeks for $35 - $70 (suggested donation).
	Benefactor: Basic Package (above) at $10/week, plus an additional donation to support Rent-A-Monk's free services for those in need.   Seven weeks for $70 plus an additional donation of ____________ (please specify amount).
	Death Rate: If you are close to death, Rent-A-Monk would be honored to donate its services to you (see Basic Package above).   Seven weeks for free (this one-time offer is free even if you don't die "on time").

Personal Information

Name:
Address:
City:
State or  Province:		Zip or  Postal Code:
Country:
Telephone: (optional)
Species: (if other than human)

Please print out and mail your completed form,
along with your donation check made out to:

Heartwings Foundation
P.O. Box 31161
Seattle, WA 98103

If your order is a gift for a friend or family member, please be sure to obtain that person's permission before requesting Rent-A-Monk's services in his or her behalf. Also, be sure to note if your order is a gift, so Rent-A-Monk can acknowledge your generosity to the recipient. Thanks!