Community Partnership Plan is a program that connects individuals willing to offer support to the Hispanic Center Lehigh Valley to fulfill its mission which is to improve the lives of Hispanic and other families by empowering them to become more self-sufficient, while promoting an intercultural understanding in the Lehigh Valley.


The main goal of this program is to financially support our four main projects: the Senior Center, Women Infants and Children (WIC), Youth and Community Empowerment Program.


Fill out this form to become a Community Partner! Thanks for your support!

 
 

Contact Information

Fund
Title
First Name*
Middle Name
Last Name*
Country*
Address*
City*
Postal Code*
Email*
Confirm Email*
Phone*
Company

Partnership Type

Account Type
  • Individual
  • Business
  • Foundation
  • Organization
  • Religious

Gift Information

Donation Amount*
  • $50
  • $100
  • $150
  • $200
  • $250
  • Other $
Donation Frequency*
Select Program Area*
  • Senior Center
  • WIC (Women, Infants and Children)
  • Food Pantry
  • Designate to most needed area
  • Youth

Payment Information

Amount*
$
Card Type*
Name on Card*
Card Number*
Expiration Month*
Expiration Year*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.