One moment please...
Amount
*
$1,000
$500
$250
$100
$
Donation Schedule
One Time
Monthly
Quarterly
Annually
Continue donating until
(mm/dd/yyyy)
Gift Details
Please use my gift for:
select one
Where it is needed most
St. Leonard's House
Grace House
Michael Barlow Center
Honor/Memory
Honor
Memory
In honor/memory of
Name of person(s) gift is being given in honor or memory of
Contact Information
I am making this donation as
select one
Individual
Organization
Name
*
Prefix
First Name
Last Name
Suffix
Organization Name
Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Would you like your gift to be anonymous?
Yes
Additional Information
How did you hear about us?
select one
Family/Friend
Alumni
Church/Faith group
Facebook
Instagram
Flyer
Word of mouth
Comments
Add 3% to my total amount to help cover the payment processing fees