Donation Form

Thank you for your interest in attending the Annual Prayer Breakfast! Please choose from the ticket options below.

Price is $25 per guest or $200 for a table of 8.

Contact Information

First Name

Last Name

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

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

Payment Information

Payment Options

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Address

City

State/Province

Zip/Postal Code

We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Thank you for your donation. Protected Harbor Inc. is a 501(c)3 non-profit corporation, and donations are tax deductible to the extent allowed by law.A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free 1-800-435-7352 within the state or by visiting www.FloridaConsumerHelp.com.. Registration does not imply endorsement, approval or recommendation by the state. CH14174