DONATIONS > Credit Card Donation Form

Michelle Moses Memorial Fund

We Accept Visa, MasterCard, and American Express

All information in bold must be completed
Donation

I'd like to support Cincinnati Habitat for Humanity in helping low-income families buy simple, decent, affordable homes. Please accept my donation of:
Donation Amount: (in U.S. Dollars)
Donation Frequency:

If other than a one-time gift, please indicate when gifts should begin and end:
Begin:
End:

Payment Information

Credit Card:
Your Name: (As shown on card)
Card Number:
Verification Number:
Expiration:	Month Year

Donor Information

First Name:
Last Name:
Address:

City:	State: Zip:
Phone Number:
E-mail Address:
	A 10% tithe of all gifts is donated to help build Habitat homes in Kenya unless the donor requests their gift remain in the local community. I do not wish to tithe my gift.

Gift amounts will NOT be disclosed unless otherwise specified


Cincinnati Habitat for Humanity will never share or sell your information for purposes other than completing this transaction.