Donation Form

By joining the Leadership Circles you are investing in our innovative approach to addressing food insecurity, homelessness, and poverty in Broward County. Members will have 1-2 excusive volunteer opportunities throughout the year, VIP Access to our upcoming gala, be featured in our LifeLine e-Newsletter and social media platforms.

Leadership Circle Pledge

Your Leadership Circles Level

Amount

$1,000 (Initial)

Donation Type

One-Time PledgeMonthly Recurring Pledge

I would like to dedicate this donation

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

The cost for processing credit cards adds up. If you say, "Yes!" here, then we can utilize 100% of your intended donation for our mission.

Yes! I want $0.00 to go to LifeNet4Families and I will donate $0.00.No. I will donate $0.00 and LifeNet4Families will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.