Founding Donor Interest Form
Founding donor interest -- Hearts and Hands Foundation
Empowering Lives Through Kindness -- one family at a time
Donor information
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
I would like to be/I'm interested in:
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Notified when donations open
Becoming a founding donor (501 c(3) status pending)
Sponsoring a specific program
I would like to sponsor a specific program
Please Select
ASL classes
Therapy reimbursement
Respite care
Device support
Support groups
Enrichment vouchers
Caregiver support vouchers/certificates
Please tell us why you are excited to help Hearts and Hands Foundation:
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*
I understand that Hearts and Hands Foundation is applying for 501(c)(3) status and donations are not yet tax-deductible. I’m expressing interest only and will be notified when giving opens.
Submit
Should be Empty: