The “Mission Builders” gift type is a Recurring Donation. Start your journey with Harborlight – together we will build homes and stronger communities. Donate Long Form - Bloomerang First Name * Last Name * Email * Phone Address * Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Would you like more information on CITC? Yes No Type of Gift Gift in Support of HCP In honor of occasion A memorial gift MISSION BUILDERS - Make a Recurring Gift Community Invest Tax Credit Gift #GivingTuesday Other Type of Gift CITC Credits are limited. We will reach out to you upon receipt of this request with more information on current CITC Credit availability. PLEASE CHOOSE YOUR RECURRING PAYMENT OPTIONS AT THE BOTTOM OF THIS FORM. In honor of occasion The amount of your honor gift remains confidential to card recipient. a) Occasion (i.e. birthday, anniversary, holiday, congratulations) b) Name of Card Recipient c) Address of Card Recipient c) Address of Card Recipient c) Address of Card Recipient c) Address of Card Recipient City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus 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Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country d) Include special message to be included with card (optional) A memorial gift The amount of your memorial gift remains confidential to card recipient. a) Name of person for whom the gift is being given b) Name of who should receive the memorial card c) Address of who should receive the memorial card c) Address of who should receive the memorial card Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota 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Would you like to increase your donation to cover this fee, so 100% of your donation goes to support our organization? * Yes No Payment Frequency * One-Time Payment Recurring Monthly Recurring Quarterly Recurring Annually Processing Fee $ Your Total Donation Amount Will Be: $ Payment Credit Card reCAPTCHA If you are human, leave this field blank. Submit