Impact Partnership Form

Thank you for your dedication in becoming an Impact Partner!

Choose your Partnership and pay by credit card below.

Donation - Impact Partnership
Impact Partnership Options

Contact Information

As you would like it to appear in print recognition
Mailing Address
Mailing Address
City
State/Province
Zip/Postal

Billing Address

Same as mailing address
Billing Address
Billing Address
First and Last Name (if different)
Address
City
State/Province
Zip/Postal

Logo or Design File

Upload your logo artwork here. If you are not ready to upload artwork at this time, you can still complete the form and email your artwork (PDF, JPG, GIF, PNG, EPS) to impact@harborlighthomes.org 

Maximum file size: 1MB

Payment

$
We pay a 2.2% processing fee on all credit card transactions. Would you like to increase your donation to cover this fee, so 100% of your donation goes to support our organization?

$

$
Credit Card
Name
Name
First Name
Last Name

Additional ways to donate:

Note: Please indicate your total donation amount and the type of gift.

Note: Kindly leave your email address, and any additional message in the ‘What’s this for’ box