HFLA Online Donation Form

HFLA Online Donation Form
Donor Name:*

First NameLast Name
Donor Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Donor Phone Number:*
Donor Email:*
example@example.com
How much would you like to donate to HFLA today?*

prevnext( X )
CAD
Where would you like your donation to be designated to? *
Please provide the name of the loan fund you would like this donation designated to:
Would you like us to send a tribute card to someone for this donation? *
Tribute Card Recipient's Name:

First NameLast Name
Tribute Card Recipients Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tribute Card Recipient's Email:
example@example.com
Tribute Card Message to Recipient:
Do you give us permission to recognize your gift on our website and other materials? *
Please list the way you would like to be recognized (we typically would list a married couple as "Joe and Jane Smith" however we are happy to recognize you however you please)*
After pressing submit, you will be directed to paypal to complete payment of your donation. After you have submitted payment, please click the link to return to our webpage.
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