NOFA-NH Donation Form
Online payment
Name
*
First Name
Last Name
Email
*
example@example.com
Confirm Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please indicate if you would like to direct your donation to a specific program:
Farm Share Program
Other
Please select any that apply:
I wish to become a member. *For donations of $50 or greater, an annual membership can be included at no additional cost. (Not applicable for program-specific donations.)
I wish to be contacted about other giving options. (Donating appreciated stock or other assets, naming NOFA-NH in my estate plan or will, etc.)
Donation Amount and Payment
Please select the donation amount and use the card fields below to complete the transaction. You will be sent a confirmation of your donation. If you do not receive a confirmation please reach out to info@nofanh.org
Donation
*
Categories:
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$10 donation
Thank you for your support
$
10.00
$25 donation
Thank you for your support
$
25.00
$50 Donation
Thank you for your support
$
50.00
$100 Donation
Thank you for your support
$
100.00
$125 Donation
Thank you for your support
$
125.00
$150 Donation
Thank you for your support
$
150.00
$200 Donation
Thank you for your support
$
200.00
$250 Donation
Thank you for your support
$
250.00
$500 Donation
Thank you for your support
$
500.00
$1000 Donation
Thank you for your support
$
1,000.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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