Make a gift to Home Away from Home! Donor InformationYour Name* First Last Your Phone*Your Email* Gift Amount*$100$250$500Other AmountHAFH $100 Donation Price: $100.00 HAFH $250 Donation Price: $250.00 HAFH $500 Donation Price: $500.00 HAFH Donation* Purpose*Scholarship to Honor a Specific GuestGeneral Scholarship FundMinistry SupportMemorial GiftGift in Honor of:*A record of your gift will be provided to the familyWho is this Scholarship for?*If you wish to direct this gift to a specific family, please indicate their name below. Apartment Number (if known)Help Cover our Costs!*Would you please consider making an additional gift to cover the online transaction fee associated with this donation?Yes! Add 3% to my gift to cover online transaction feesNo. I will donate the total amount indicated aboveOnline Transaction Fee (3%)Thank you! This 3% transaction fee will ensure that your full gift amount is made available to this ministry. Price: $0.00 Total AmountBilling InformationYour Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Total Gift $0.00 When you click 'Submit' below, your card will be immediately processed securely via Stripe. You will also receive an email receipt of the transaction within a few minutes. If you have any billing or tax-related questions, please contact the church office. This iframe contains the logic required to handle Ajax powered Gravity Forms.
