Home Instead Charities appreciates the opportunity to accept your donation in support of the Be A Santa To A Senior program in your community.  Use the scroll bar on the right side of the form to ensure you complete all the required fields. Click SUBMIT at the bottom of the page to complete your credit card donation. Thank you!

 

Effective 12/31/2020, Home Instead Foundation is now known as Home Instead Charities.

Your Gift Information

Donation Amount*
  • $25
  • $50
  • $100
  • $150
  • $200
  • Other $
Please select the Be A Santa To A Senior program you would like your gift to support:*
  • General Fund - Be A Santa To A Senior
  • Bend OR - #212
  • Birmingham AL - #163
  • Bloomington IN - #461
  • Central Point OR - #476
  • Chapel Hill NC - #106
  • Charlottesville VA - #532
  • Coppell TX - #407
  • Dover DE - #179
  • Dresher PA - #700
  • Evansville IN - #390
  • Gainsville GA - #678
  • Gorham ME - #321
  • Granville OH - #550
  • Greensboro NC - #311
  • Grover Beach CA - #345
  • Huntsville AL - #250
  • Jasper IN - #750
  • Johnson TN - #537
  • Kingsport TN/Bristol VA - #270
  • Lakeland FL - #722
  • Lecanto FL #671
  • Lexington KY - #312
  • Lincoln NE - #101
  • Lubbock TX - #510
  • Lynchburg VA - #514
  • Meridian MS - #809
  • Mobile & Baldwin Counties AL - #228
  • New Braunfels TX - #366
  • Omaha NE - #100
  • Orange Park FL - #193
  • Pensacola FL - #298
  • Portland OR - #289, #374, #710
  • Rancho Cordova CA - #175
  • Redlands CA - #806
  • Riverside CA - #282
  • Roanoke VA - #375 & #514
  • Rohnert Park CA - #392
  • South Atlanta - #240
  • Spartanburg SC - #768
  • Springfield IL - #762
  • Statesville NC - #455
  • Thousand Oaks CA - #815
  • Union City CA - #291
  • Vancouver WA - #436
  • Verona VA - #319
  • Waukee IA - #445
  • West Jordan UT - # 745
  • Willmington DE - #492

Your Contact Information

Country*
Email*
Confirm Email*
Phone*

Your Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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