Christmas in Chiapas - Online Donation Form

Harvest of Home Online Donation form

100% of your gift supports community-based programs in Chiapas!

If you would prefer to give by check please download, print and complete this donation form. It is not necessary to complete this form if you are donating by mail.

Online Order Form

All information collected is considered private and will only be used for the purpose of your donation.

Your Information

First Name (Required)

Last Name (Required)

Address (Required)

City (Required)

State (Required)

Zip (Required)

Your E-Mail Address (Required)

Contact Phone

Please provide us with your contact phone in case we have any questions about your donation.

Recipient's Information

If you are donating as a gift to someone, please complete the following information so we can send a note to this recipient indicating you have made a gift in their name.

First Name

Last Name

Address

City

State

Zip

Occassion for Gift

Please indicate what holiday (eg. Christmas, Chanukah, New Year's) or occasion you are honoring, if any: (eg. Birthday, Graduation, Mothers Day, Father's Day).

Note to Recipient

Please include a short personal note if appropriate.

Donation Amount (Required)

Please indicate what amount you are interested in donating at this point. (Suggested Donation: $25 or more)

Allocation of Donation

Check which programs you would like your donation allocated across. We will designate your donation based upon the items you check.

One Equal Heart Foundation

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Christmas in Chiapas - Online Donation Form

Online Order Form