Your Donation
I would like to make an online gift to Horizon Community Learning Center.

* Dollar Amount:

I reject all premiums offered within my gift level so my entire contribution will go to HCLC and is 100% tax deductible: (Premiums include Eagle Passes, Spring Fling tickets, etc.)

Yes   No

* First Name:

* Last Name:

Are you a parent of an HCLC student?: Yes   No

If yes, Childrens' Names:

If no, How Did You Hear About HCLC?:

* Street Address:

* City:

* State: Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

* Zip:

* E-mail:

* Phone:

Employer:

Title/Profession:

Does your company offer a matching gift program?: Yes   No   Don't Know

How did you hear about Horizon's Online Giving Program?

Additional Comments or Inquiries:

Prefix (Mr., Mrs., Ms.):

First Name:

Last Name:

Employer:

Title/Profession:

Does your spouse's company offer a matching gift program?: Yes   No   Don't Know

Future Giving

In addition to this gift, I would like to make a pledge for future gifts to Horizon Community Learning Center.

I am only interested in making a one-time gift to Horizon Community Learning Center.

Pledge Amount Per Year:

Number of Years of Pledge:

(You will be billed for your pledge amount during the current month each year, starting in 2008. For example, if you pledge $500 for four years in March 2008, will be billed in March 2009, 2010, 2011, and 2012.)

You will now be taken to the PayPal Web site to complete your transaction. Thank you for contributing to Horizon Community Learning Center.