Renewing the Gift Campaign

Gift Information

Donation Amount*
  • New Carpet - $1,000
  • New Windows - $2,000
  • New Room Furnishings - $3,000
  • New Door, Electrical - $4,000
  • Bathroom Remodal - $23,000
  • Other $

Contact Information

Country*
State / Province*
Address*
City*
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Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments