Donation Form

Thank you for donating to the store that builds homes

Your $15 fuel donation helps drastically reduce the cost of our pickups, helping us help more Ventura County families in need of affordable housing.

Every gift, no matter how large or small makes a difference. To support Habitat Ventura County with a tax-deductible financial gift.

Please complete the below form or mail a check to: Habitat for Humanity of Ventura County 1850 Eastman, Ave., Oxnard CA 93030. Note your donation as "fuel donation."

Please note that this a donation and is non-refundable, whether your pickup is canceled or not.

Donation Information

Amount

15.00

Type of Donation

One Time DonationRecurring Donation

Which ReStore location will receive your donated items?

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

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 Habitat for Humanity of Ventura County and I will donate $0.00.No. I will donate $0.00 and Habitat for Humanity of Ventura County 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

Habitat for Humanity of Ventura County | 1850 Eastman Ave., Oxnard, CA 93030 | (805) 485-6065

Privacy Policy
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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.