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Champion
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$
Champion
$
One Time
Recurring
Yes I will become a PLANTER OF HOPE with a gift of
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$
$600/year for 3 years ($50 per month)
$900/year for 3 years ($75 per month)
$
One Time
Recurring
Yes, I will become a SEED SOWER OF HOPE
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$
$1,500 per year for three years ($125 per month)
$3,000 per year for three years ($250 per month)
$
One Time
Recurring
Yes I will become a CULTIVATOR OF HOPE
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$
$5,00 per year for three years ($417 per month)
$
One Time
Recurring
Partner
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$
Partner
$
One Time
Recurring
Yes I will become a NEW partner with a gift of
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$
$ _____ per month for _____ months
$ _____ per years for _____ years
$
One Time
Recurring
Current Supporters
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$
Current Supporters
$
One Time
Recurring
As a current supporter, I wish to:
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$
Add _____ more years to my existing multi-year pledge
Add $_____ per month to the remainder of my existing multi-year pledge
Add $_____ per year to the remainder of my existing multi-year pledge
Add $_____ per month for ______ years
Make a one-time gift of $_______
$
One Time
Recurring
I wish to
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$
$
One Time
Recurring
insert value and time period pledge
Donation Amount
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$
Donation Amount
$
One Time
Recurring
Please select all that apply
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$
My check is enclosed (Make checks payable to: "Heartland Youth for Christ" in the memo field)
Donation of stock
$
One Time
Recurring
I wish to
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$
$
One Time
Recurring
insert value and time period pledge
Please Contact Me
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$
Please Contact Me
$
One Time
Recurring
select all that apply
*
$
I have additional thoughts I would like to share
My company will match my gift
I need help with a custom donation
$
One Time
Recurring
First time donation or your gift donation today
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$
$
One Time
Recurring
Weekly
Monthly
Yearly
Name
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$
First Name
Last Name
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Gift Note
*
$
$
One Time
Recurring
I would like to cover processing fees for this transaction at a rate of 2.9%.