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Become a Helping Hero Donation Form

(PLEASE NOTE: ALL fields are required to submit form.)

YOUR INFORMATION

Name     

Address     

City            State      Zip

Phone Number     

Email Address     



PAYMENT INFORMATION

Sponsorship Donation Amount      $

Name (as it appears on credit card)     

Card Type     

Card Number     

Exp. Date       /

Name of Orphan (First Choice)      

Name of Orphan (Second Choice)     

Name of Orphan (Third Choice)     

Name or greeting to display next to orphan's photo


If giving as a gift, please fill out the information below.

Recipient's Name  

Message to Recipient (Happy Birthday Tracy!, Merry Christmas Diane! ...)


Recipient's Email Address  

Please note that acknowledgments to recipients will only be sent out via email. No letter will be mailed out to recipients for donations to this program. If your recipient does not have access to email, you may want to consider donating to one of our other wonderful programs, in which case, a hard copy letter can be mailed out to them letting them know of your donation. Please click here to see all of our other progressive and live-enhancing programs. Thank you for making a difference!

 
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