Membership Form H&J Foundation

Membership Form

Support Human Trafficking, Domestic Violence and Children Sexual Violence Survivors in Florida. To bring an end to modern slavery and domestic violence by preventing exploitation, rescuing victims, restoring lives, and reforming society. Find out more about how we do this at Instagram @hopeandjusticefoundation and www.hopeandjusticefoundation.com Zelle: (407) 893-1477
Tax Deductible under 501(c) (3) IRS
I / WE WOULD LIKE TO JOIN THE FOLLOWING MEMBERSHIP LEVEL:
Donor Name

First NameLast Name
Company Donor
EIN/CNPJ
Email

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Signature

Blue Diamond Elegant Membership

1 Business Card plus 4 Personal Card Monthly Payment. For companies only.

$600.00

Platinum Elegant Membership

1 Business plus 2 Personal Card. Monthly Payment. For companies only.

$300.00

Gold Membership

1 Personal Card. Monthly Payment. For individuals only.

$100.00

Silver Membership

1 Personal Card. Monthly Payment. For individuals only.

$75.00

Bronze Membership

1 Personal Card. Monthly Payment. For individuals only.

$50.00

Special International Membership

1 Personal Card. Annual Payment. For individuals only.

$300.00

Subtotal

Shipping

Total

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* This agreement may be terminated at any time with a (30) thirty-day notice by either party. * We appreciate your monthly donation. Your noble attitude inure prosperity to you, your family and your business!
Initial Signature*
Anonimous Donation ?
Can We Publish Your name?
DONATE
ZELLE (407) 893-1477
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Membership Form