AHC Donation Form

Give a deserving child the tools to succeed! Your gift today will provide Backpacks with School Supplies to families living at AHC Inc.’s affordable housing communities in Arlington.

Join the AHC Inc. Monthly Sustainers Program to provide vital year-round educational support. Simply click the "Gift Type" box below to select your gift schedule.

Fields with red asterisks (*) are required.

Gift Information

Donation Amount *

$21 (one backpack full of supplies!)

$42 (two packs, two kids prepared!)

$105 (five backpacks with supplies!)

$210 (10 packs, 10 kids beaming!)

$420 (20 backpacks with supplies!)

Other...(Surprise Us!)

Donation Amount Other...(Surprise Us!)

Gift Type

Use the drop down arrow above to schedule a recurring gift by having your card automatically charged this gift amount on an ongoing basis. You may increase, decrease or suspend your contributions at any time.

Gift Designation

This is a tribute gift.

Options

Please select Honor or Memorial

First Name

Last Name

If you would like us to notify someone of your gift:

Recipient First Name

Recipient Last Name

Recipient Address Line 1

Recipient Address Line 2

Recipient City

Recipient State

Recipient Postal Code

Recipient Country

Additional Notes:

My donation will be matched.

Options 2

Company Name

If this gift can be matched by your employer, please enter the company name here and complete and submit your employer’s matching gift form or online matching gift process.

Donor Information

I wish to remain anonymous. *

Title

Title Other...

First Name *

Last Name *

Suffix

Suffix Other...

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Country *

Email Address *

Phone *