* Required Fields
Donation Information
  Give to: 
  Amount 
   
  Instructions   A One Time Donation will be charged to your credit card when you submit this form. If you choose a Recurring Donation, your initial donation will be charged to your credit card when you submit this form, and subsequent monthly donations will be charged to your credit card on the same day of the month as your initial donation. To change or stop a recurring payment, please contact admin@horizonsinternational.org. Filling out this form will create an additional payment. Thanks!  
   
  Type of Donation 
 
  
Designation:
 


Contact Information
* Donor Type 
* First Name 
* Last Name 
  Organization Name 
* Address 
  Address 2 
* City 
  State/Province 
* Country 
* Zip/Postal Code 
* Phone 
* Email 


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 
  Email 
                                     


Horizons International is a registered 501(c)3 organization in the United States. In keeping with IRS requirements, gifts are solicited with the understanding that Horizons International has complete control and discretion over the use of all donated funds. Gifts to Horizons International are tax deductible, and no goods or services were provided in exchange for this gift. 
 
Privacy Policy
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.
 
Contact Us: Horizons International • P.O. Box 18478, Boulder CO, 80308 • 303.442.3333 • main@horizonsinternational.org

©2018 SofterWare, Inc. v.2018.02.01-B