Grace Habitat — Donation Form

Supporting safe, shared senior housing for older adults in our community

First Name

Last Name

Phone *

Email *

Are you donating on behalf of a company or organization? *

If yes, kindly input the organization or company name.

Donation Details

Select your donation amount.

$25 — provides a week of nutritious meals for one resident

$50 — covers essential home supplies for a shared household

$100 — supports a resident's move-in essentials

$250 — sponsors a month of shared housing support services

Others

Donation Frequency* (single choice)

One-Time Gift

Monthly Recurring Gift

Designate Your Gift (optional, single choice)

Where Needed Most (General Fund)

Housing and Rent Support

Meals and Nutrition Program

Resident Move-In Support

Make this an anonymous donation

Yes, keep my name private from public acknowledgment

(Note: your info is still securely recorded for receipt/tax purposes)

Payment Details

Collect Payment *

$ 25

$ 50

$ 100

$ 250

Other amount

Billing Frequency

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I confirm the information provided above is accurate

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