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Habitat for Humanity Lakeside Donation Form
Frequency of Donation
Designation of Donation
Select a specific program to support or leave your gift as unrestricted so we can use it where it's needed most.
Where it's needed most (unrestricted)
Home Buyer Program
Home Repair Program
Rock the Block Program
Type of Donation
Please list how you would like your name to appear in our annual report: Anonymous, Jon & Jane Doe, Jon and Jane Doe, Business Name, Etc...
Is this donation in memory or in honor of someone?
Who is the donation in memory or in honor of?
Would you like Habitat for Humanity Lakeside to send an acknowledgement to this person or one of their family members to let them know you made a donation in memory or in honor of them?
What is the name and address of the person you would like the acknowledgement sent to?
Contact Information for Billing
Address Line 1
Address Line 2
Add 3% to my total amount to help cover the payment processing fees