HPJC Membership-Donation Form

To pay HPJC membership dues or to make a single, one-time donation. to HPJC or one of our member organizations, please fill out the form below.

If you instead want to set up periodic (monthly, quarterly, or annual) automatic donations, use our periodic donation form instead.

If you want to make a donation for the Houston Food Not Bombs fund to support FNB's work to feed the homeless, please use this FNB form instead, or go to form.jotform.com/hpjc/food-not-bombs-donation-form

The Houston Peace & Justice Center certainly appreciates amounts more than the minimum for membership dues, to help us fund peace camp expenses, micro-grants to small organizations, support for activists, co-sponsorhips, collaborative activities with other groups, and other programs to promote peace, justice, and sustainability. See hpjc.org for more infomation and examples of what your donations support.

The donation is for:*

HPJC Individual Membership Dues ($35 or more per year)HPJC Family Membership Dues ($50 or more per year)HPJC Organizational Membership Dues ($45 or more per year)General Donation to HPJC (any amount)Restricted Donation to another organization - please specify

For organizational memberships, please affirm:

your organization's commitment to using only non-violence in conflict resolution.
that your organization will send a representative to our HPJC Board meetings (generally 4 per year)

On behalf of my organization:

Yes, we agree to the above commitmentsNo, I cannot make the above commitments for my organization

Organization Name (for membership)

Name*

First NameLast Name

Address

Street Address

Apt., Suite No., etc. (if applicable)

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Anything else we should know? (a specific HPJC program or activity you want your donation to support, etc)

Example: Peace Camp, etc.

Total Amount of My Donation (including HPJC membership, if applicable)

USDTotal HPJC Membership or Donation Amount

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Secure credit/debit card processing is handled through Jotform and Stripe, and HPJC does not get nor keep your card information.

If you choose not to complete the online payment process, you may still donate by sending a check in any amount to:
Houston Peace and Justice Center
P.O. Box 66234
Houston, 77266-6234

If your check is for a specific HPJC activity, please tell us that.

Thank you!

Sorry for the trouble, but please let us know you're human:*