HAVI Recurring Donation Form

HAVI Recurring Donation Form

For Recurring Online Credit Card Donations to the HAVI
We are deeply grateful for your decision to support us on an ongoing basis. Please complete the following information below and a receipt will be emailed to the address you provide.
Name*

First NameLast Name
Email*
example@example.com
Organization
Role
Phone Number*

Area CodePhone Number
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Note
Project*
Leave as "HAV107" unless given a specific number
Would you like this donation to be anonymous?

YesNo

Donation Type*

MonthlyAmount you would like to contribute to the HAVI on a monthly basis

USD for each month

QuarterlyAmount you would like to contribute to the HAVI on a quarterly basis

USD for each three months

AnnualAmount you would like to contribute to the HAVI on a yearly basis

USD for each year

Again, we are truly grateful for your ongoing support of the HAVI. Please contact sethd@thehavi.org if you do not receive a receipt following submission.
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