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Donation Form
Contact Information
Name
First Name
Last Name
Email
Verify Email
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Gift Information
Amount
*
$500
$250
$100
$50
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Gift designation
Unrestricted (use where needed most)
Food
Heating
Christmas Blessings
PowerUP!
Disaster Response
This gift is in Memory/Honor of someone
No
Yes, Memorial gift
Yes, Honorary gift
Name of person being honored/memorialized
Prefix
First Name
Last Name
Suffix
Dedication Note
Name of person to be notified about this gift
Prefix
First Name
Last Name
Suffix
Address of person to be notified
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email of person to be notified
Verify Email
Comment/Note about this gift
I wish to make this gift anonymous
Yes
I would like to further support Sharing House by adding 3% to my total amount to help cover the payment processing fees
