KACHEMAK HERITAGE LAND TRUST
Secure Donation Form

 
Donation Information:
Donation Purpose (General, Membership, Summer Challenge, Grant Match, etc.):  

Suggested Membership Levels:

Individual $35       Family $50         Caretaker $100         Business $100
Conservator $250      Guardian of Land $500      Trustee $1,000      Heritage Circle $2500

Thank you for your support!

Donation Amount: $
           
Credit Card Information:
Card Type:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
   
Donor Information:
Name(s):
Business Donor Name:
Address:
City, State:
Zipcode:
Country:
Phone Number:
Email Address: