Recurring Donation Website REV 04/2022

Welcome to the Heart Angels community! How much would you like to donate monthly?*

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Total Monthly Donation
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Name*

First Name Last Name
If this is a COMPANY donation, please enter the company name here
E-mail*
Phone Number*

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Billing Address*

Street Address

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Postal / Zip Code Country
Birthday Month*
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Are you making this donation In Honor or In Memory of a loved one?*

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I am making this donation In Honor/In Memory of
I would like to send a eCard (recipient's email address)
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Comments
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Monthly Donation
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