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Upper Valley Habitat Online Donation Form
Amount
*
$1,000
$500
$250
$100
$75
$50
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Please note below if you would like your donation used for a specific purpose:
*
Where it's needed most
Weathersfield Project
Lunch for the construction crew
Team Build Day Donation
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
How did you hear about giving online to UVHFH? Did someone in particular refer you?
Multi-line input
Add 3% to my total amount to help cover the payment processing fees