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Contribute to Supporting Donations - One Time

Entering your contact information allows the organization to acknowledge your generous contribution. Specify the contribution amount and an optional comment. Depending on the configuration, you may also be able to specify if this should be reported as anonymous (although your contact information is still required.) Click Proceed to Payment to finalize and pay by credit card or by printing an invoice and mailing a check.

Home In Place is a network of members and volunteers who come together to redefine aging. Through your gift, you help provide services and programs that promote living independently, encourage active lifestyles, and minimize social isolation.Thank you for supporting this dynamic vision.

 

We appreciate your support of Home In Place and would like to recognize you in printed and online publications. If you do not wish for your name to be listed there, please select "Anonymous" on the following page. Your name and contact information will still be visible to Home In Place administrators, but will not be reported in print or web publications.
Organization Member?  

In addition to your name, please enter your address, phone number and email address. This will allow us to contact you if necessary.
Contact Information
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Contribution Details

Contribution Date
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Amount (US$)
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Amount must be between US$ 200 and US$ 999
Contribution in
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Comment
Do you want this reported as an anonymous contribution?
How do you want your name to appear in the contribution records?
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Notify

Do you want the Organization to notify someone about your contribution?
Name
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Address Line 1
Address Line 2
City
Country
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State/Province
Zip/Postal Code
Email

Matching Gifts

Does your employer or your spouse's employer match gifts?    
 
 
 
Will you mail the form?    
 
 
Employer Name
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Employer City
Employer State
Employer Contact Person
Employer Contact Phone
Matching Terms

Additional Info

I am interested in learning about other opportunities to help support Home In Place.
Please send me more information about including Home In Place in my will or estate plans.
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