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Make a Donation via PayPal

You can honor family and friends with a donation to Habitat:

Simply type the name of the person that you wish to honor (and their mailing address) in the boxes at the bottom of this form and a card will be sent to them on your behalf.

( * = required field )
First Name:  *  
Last Name:  *  
Organization:
Address:  *  
Address 2:
City:  *  
State:  *  
Zip Code:  *  
Phone:  *  
Email:  *  
Confirm Email:  *  

ADDITIONAL INFORMATION
Recipient's Name:
Enter the name of the person that you would like to honor.
Recipient's Address:
Enter the person's mailing address.
Messages:
Enter Security Code:
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