Habitat for Humanity of the Greater Teton Area

Recurring Donation Form

Thank you for joining the Foundation Framers, Teton Habitat’s monthly giving program that allows us to build affordable housing options for our community into the future.

Simply choose the amount you would like to donate each month and the number of months you would like to subscribe for. Your card will be charged automatically each month. We will send you a reminder when your recurring donation is about to expire so you won’t miss the opportunity to renew. We will send an annual tax receipt at the end of each calendar year.

If you need to make any changes during your subscription period, please send an email to give@tetonhabitat.org.

Donor Information

First Name

Last Name

Company Name (if applicable)

Phone Number

Billing Address

City

State

ZIP

Donation Information

Monthly Donation Amount

.00

Would you like to contribute an additional 3% to help cover administration costs?

Yes, please add 3%

No, thank you

Total Monthly Donation Amount

For how many months would you like your donation to recur?

Start Date

Special instructions or comments

This gift is in

honor of

memory of

Name of

Honor and Memorial Gift Details

We can notify the recipient or others of your gift. We do not include the gift amount. If you would like us to notify someone of your gift, please complete the fields below.

Name of person to notify of gift:

Notification email or mailing address:

Note to recipient (optional)

Credit Card Information

Same as above

Name on credit card

First Name

Last name on credit card

Last Name

Company Name (if applicable)

Billing Zip

Name on credit card

First Name

Last name on credit card

Last Name

Company Name (if applicable)

Billing Zip

Filled

Filled Name on credit card

First Name

Filled Last name on credit card

Last Name

Filled Company Name (if applicable)

Filled Billing Zip

Credit Card Number

Credit Card Type

Code

To confirm your card is valid, you will see a $0.05 temporary hold on your card. This amount will not be charged.

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