Make a Gift

There are several ways your gift makes a difference in adding quality to the lives of people supported by Hiawatha Homes. Each and every gift is appreciated and valued.

I/we would like to support the mission of Hiawatha Homes Foundation
with my/our gift of: $

I/we prefer this gift to be used for:

	This gift is unrestricted
	Equipment and Assistive Technology Purchase lifts, slings, standers, and equipment (including recreational equipment) to make an area more accessible or safer for all.
	Social and Community Activities Make activities and parties possible for individuals, their friends, and family members.
	Building and Remodeling Homes Invest in home improvement projects and new accessible homes.
	Therapeutic Pet Support Invest in a pet, veterinarian services, training, and grooming. Pets can add a special loving touch to someone’s life.
	Special Client Needs Help make someone’s life dream of taking a vacation or attending camp come true.
	Other
I/we would like my/our gift to pay tribute to someone special. Please accept this gift:
	In honor of
	In celebration of
	In memory of

Please send acknowledgement of the above tribute to
(Notification sent immediately. The gift amount is not indicated.)

Name
Address
City
State
Zip

Your Information

First Name
Last Name
Address
City
State
Zip
Country
Phone
Email

When Hiawatha Homes Foundation acknowledges you in a publication,
how would you like to be listed?
Please do not publish my/our name.

Payment Information
* = required field

Credit Card Type:*
Credit Card Number:*	(no spaces or dashes)
Expiration Date:*	(mm/yy)
Name on Card:*
First Name:
Last Name:
Billing Information: same as your information above?
Address:
City:
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Zip:
Country:

Credit Card Online Payments

1820 Valkyrie Drive NW · Rochester, MN 55901 · HHI 507-289-7222 · HHF 507-289-8683 · Human Resources 507-289-4040