Habitat for Humanity Lakeside · Habitat for Humanity Lakeside Donation Form

Donation Amount *

$1,000

$500

$100

$50

$25

$

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.

Type of Donation *

Individual

Company

Recognition Name *

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? *

Yes

No

Who is the donation in memory or in honor of? *

First Name

Last Name

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? *

Yes

No

What is the name and address of the person you would like the acknowledgement sent to?

Comments

Contact Information for Billing

Name *

First Name

Last Name

Company Name *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email *

Verify Email *

Home Phone

Work Phone

Cell Phone