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Make a Gift

Thank you for supporting Covenant House. Please fill out the following form carefully and completely, then hit the "Preview" button.

This gift will not be listed as supporting anyone else's candle. To make a gift in support of someone, please use our search function to find the candle, and then click the "make a gift" button beneath the candle thermometer on the right-hand side of the page.

Required fields are marked with an asterisk (*).

Donor Info

*Donation Amount: $

Amount is in U.S. Dollars

*First Name:

*Last Name:

*Email:

*Address Line 1:

Address Line 2:

*City:

*State / Province:

*Zip/Postal:

*Country:

Billing Info

Billing address is the same as mailing address

*Address Line 1:

Address Line 2:

*City:

*State / Province:

*Zip/Postal:

*Country:

*Name on credit card:

*Card type:

*Credit Card #:

*Expiration month:

*Expiration year:

*CVV:

Light a Candle