Company
Name of the Company or Organization making the donation if applicable
Name *
First Name
Last Name
Phone
Email *
Address *
Address Line 1
City
State
Zip
In Memory or Honor  
Please check one of giving in memory or honor of someone.
Name of individual in honor or memory of  
First and last name(s)
Donation Acknowledgement
Please list name(s) and addresses(s) to send acknowledgement of this gift to.
Donation *
$
Please choose one: *
Select if you are giving as a volunteer, client, community member, church or other.
Comments or Questions
 Please consider adding 3.58% to your donation to help offset processing cost.

Faith in Action Georgetown / 2425 Williams Dr., Georgetown, Texas 78628 / 512-868-9544