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Gift Card Order Form

  • NAME *
    First
    Last
     
    This is the name of the person to whom the card is to be sent
  • MAILING ADDRESS *
    Street Address
    Address Line 2
    City
    State / Province / Region
    Zip / Postal Code
    Country
     
    This is the address where the card is to be sent
  • CARD CHOICE *
    E1 Door of Hope
    E2 Honour Nelson Mandela
    G1 Welcome to Your Village
    G2 A New Day
    G3 Hope Rising
    G4 Sisters
    Check whichever card(s) you would like us to send. Please remember, you need to donate a minimum of $20 per card.
  • Number of cards
    If you have checked more than one card, we will send you one of each. If you want multiple cards of more than one design, please place a separate order for each design.
  • "TO"
    If this is to be sent directly to your recipient, what name would you like us to write in the "to" field?
  • "FROM"
    If this is to be sent directly to your recipient, what name would you like us to write in the "from" field?
  • AMOUNT DONATED *
    This information will enable us to confirm receipt of your donation before sending the card. It will not appear on the card.
  • YOUR E-MAIL ADDRESS *
    This will enable you to receive confirmation that your card has been mailed. It will not be used for any other purpose, unless you give us permission.
  • MAY WE ADD YOU TO OUR E-NEWSLETTER LIST? *
    *yes please
    not at this time
    You can always unsubscribe by the click of a button!
  • COMMENTS
    Is there anything you would like us to know about your gift?