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TOGETHER, WE CAN DELIVER!
Please provide your contact and payment information below. Your contact information is required to generate a tax receipt which will be sent to the address provided. Thank you for helping us create a community where no senior is hungry or forgotten.
Is this contribution for meals you or a family member received? (Please note, we serve Kent and Allegan Counties.)
*
select one
Yes
No
If yes, please enter the name of the meal recipient below
Suggested giving amounts
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$1,500
-
1 year of healthy meals delivered to a senior
$750
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6 months of healthy meals delivered to a senior
$500
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1 month of fruits and vegetables for our Senior Food Pantry
$150
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1 month of healthy meals delivered to a senior
$50
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1 month of groceries for a senior at our Senior Food Pantry
$
Donation Schedule: Please consider becoming a monthly donor. Monthly donors help provide financial stability.
One Time
Monthly
Quarterly
Contact Information
Name
*
First Name
Last Name
Is this a company donation? Please list name of company/organization if so:
Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
I would like my giving to remain anonymous, this means your name will not be published in any of our materials.
Phone
Email
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Paperless
I prefer to go paperless. Please send communications to my email address when possible.
Is this gift in honor or in memory of an individual?
In Memory Of
In Honor Of
Enter honoree's name
Would you like us to notify anyone about your memorial or honorary gift? If so, please list their name and address here:
Add 3% to my total amount to help cover the payment processing fees