Mid-Columbia Community Action Council
DONATION FORM


Thank you for your interest in Mid-Columbia Community Action Council. Please fill in the fields below, then press "Submit My Donation." If you have made a donation, click here to view donation status.

This gift is from:

661-555-5555

Donation Types

  1. General - This donation will be placed into our General Fund and distributed accordingly.
  2. Food Program - This donation will be given to the Mid-Columbia Regional Food Bank.
  3. Energy Assistance - This donation will be made to our Energy Assistance program.
  4. Homeless Housing - This donation will be made to our Homeless Housing fund.
  5. Youth Homeless Housing - This donation goes towards our Youth Homeless Housing program.

Please notify the following person that this gift has been made to Mid-Columbia Community Action Council

661-555-5555

Please check that all parts of the form above have been completed and then press "Submit My Donation" only once. The confirmation page will appear shortly afterwards. Then you will be able to proceed through paypal paying via Credit Card or Paypal account (not required for payment) to complete the process.

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