HFLA Named Fund Form
Your Name:
*
First Name
Last Name
Your Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Phone Number:
*
Your Email:
*
example@example.com
How much would you like to donate to HFLA today (a minimum donation of $3,600 is required to start a new loan fund)?
*
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next
( X )
CAD
What would you like your Named Fund to be called (we typically use the first and last name of the fund holder followed by "loan fund". If the fund is in memory of someone, we typically use the first and last name followed by "memorial loan fund").
Can we list your named loan fund name and donation on our website or other materials?
*
Please Select
Yes
No
Would you like us to send a tribute card to someone to advise them about the establishment of this fund?
Please Select
Yes
No
Tribute Card Recipient's Name:
First Name
Last Name
Tribute Card Recipients Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tribute Card Recipient's Email:
example@example.com
Tribute Card Message to Recipient:
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.
Submit
Should be Empty: