Donation Form

Donate Today… Here’s How!

Please complete and submit the donation form below. After submitting the form, you will be taken to our secure STRIPE site to enter your payment information. You may pay with a credit or debit card, or STRIPE account. You will receive confirmation of your submission and a transaction receipt via email that may be used for income tax purposes.

PLEASE NOTE: You DO NOT need a STRIPE account to donate.

Arrowleaf Donation Form

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Company Name (If applicable)

Address*

Street Address Address Line 2 City State ZIP Code

Please indicate which area of focus you would like to support with your donation: (Check all that apply)*

All Programs

Client Choice Food Pantry Program

Resident Activity Fund at Autumn Ridge

Emergency Shelter Capital Campaign

Supported Employment Program at Clyffe Cafe

Angel Tree Program

Other/Specific Request

DONATION AMOUNT (Please enter your tax-deductible contribution below):*

Note: After completing this form and clicking the "Submit" button, you will be taken to STRIPE to complete your payment transaction.

Please mail me a receipt:

YES

Comments/Special Instructions. NOTES: If you are making a donation on someone's behalf - please include their name and address to send their Certificate of Donation. Also, your donation amount will be divided equally among multiple selections unless special instructions are indicated below:

2 + 4 = (Help us prevent automated spam form submissions. Please enter the sum in the space below)*

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Comments

This field is for validation purposes and should be left unchanged.