Donation One Time - Life Plan Humboldt

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Donation One Time - Life Plan Humboldt

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Donation One Time

This page is for donor to make a one-time donation.

Click Here if you would rather make a Pledge with regular payments

Click Here if you would rather make a Donation of Stocks or Bonds

Donor Information - Step 1 of 3

Your Name *

First

Last

Preferred Pronoun

Business Name (if applicable)

Email *

Address *

Address Line 1

City

State

Zip Code

Would you like to give this gift in the name of someone else?

Yes

Honoree's Full Name

Honoree's Address to send acknowledgement card

Relationship to Honoree

Would you like to add an additional name to your donation?

Yes

Additional Name

First

Last

Preferred Pronoun - Additional Name

Save and Resume Later

Year of Birth

Home Phone *

Work Phone

Mobile Phone

May we include your name on our Donor List?

Yes
No

Would you like to include an additional 3% to cover the credit card processing fee?

Yes
No

Save and Resume Later

One Time Donation

One-Time - $ 50.00
One-Time - $ 100.00
One-Time - $ 250.00
One-Time - $ 500.00
One-Time - $ 1,000.00
One-Time - $ 5,000.00
Other Amount

One Time Donation (with 3% added)

One-Time - $ 51.50
One-Time - $ 103.00
One-Time - $ 257.50
One-Time - $ 515.00
One-Time - $ 1,030.00
One-Time - $ 5,150.00
Other Amount (add 3% to your amount below)

Other Amount

Total

$ 0.00

I would like to make this donation recurring:

Monthly

Stripe Credit Card *

Card

Name on Card

Comment or Message

Save and Resume Later

Heads up! Saving your progress now will store a copy of your entry on this server and the site owner may have access to it. For security reasons, sensitive information such as credit cards and mailing addresses, along with file uploads will have to be re-entered when you resume.

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternately, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

Copy Link

Email *

If you would like to donate all or part of your Minimum Required Distribution (MRD) from your IRA(s), please contact your Financial Advisor or Broker or contact us at (707) 845-2454.

If you prefer to mail in your donation and contact information, our mailing address is:

Life Plan Humboldt
2037 Blake Road
McKinleyville, CA 95519
lph@lifeplanhumboldt.org
(707) 845-2454

Life Plan Humboldt is a 501(c)(3) not-for-profit organization and your donations may be tax deductible. Our Tax ID Number is 84-4757743.

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Email:lph@lifeplanhumboldt.org
Phone: (707) 276-6762

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