One moment please...
What type of gift is this?
*
select one
Personal
Business/Organization
Tribute (in honor or memory)
Was your gift inspired by our "Home Is ___" Spring Giving Campaign?
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Yes
No
Amount
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$100
$50
$35
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Annually
Private gift?
Please check this box if you prefer to remain unnamed in public acknowledgments of our supporters.
Your Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Organization/Employer
*
Email
*
Business/Organization Email
*
Mobile phone
Business/Organization Phone
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Business/Organization Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Tribute Information
Please select the tribute.
*
If your loved one is not named, please select one of the first two options. If you would like to set up a Named Tribute, please email your request to info@freedomhousedetroit.org.
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Honorary
Memorial
Andrea Lubienski Memorial
Eddie Egnatios Memorial
Person to be Honored/Memorialized
*
Prefix
First Name
Last Name
Suffix
Dedication
Use this field to write a message commemorating the person/event being honored or memorialized. For instance, "In honor of the generous spirit of my mother, Jane Smith."
May we notify a family member or friend of your gift?
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Yes
No
Person to be Notified
First Name
Last Name
Notification Email
Gift Note
If you are giving personally but you'd like us to know that you're affiliated with a group or other individual, please provide that information here. You can also use this space to tell us about you or what inspired you to give.
Yes, I'll cover the 3% processing fees, so more of my gift can go to programming!