Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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My Commitment *

Please select a donor level commitment below.

Foundation Donor ($500 - $1,499)

Unity Donor ($1,500 - $2,499)

Vision Donor ($2,500 - $4,999)

Legacy Donor ($5,000 - $7,499)

Generational Donor ($7,500+)

Giving Method *

What method of giving do you plan to use?

Cash

Check / Money Order

Electronic (Givelify)

Recognition Preference

How would you like to be officially recognized?

Same as Name(s) Above

Prefer to Remain Anonymous

Other