HMOA Secure Donations

Join, renew or give! If joining or renewing a membership, please list the names and relations of the people in your household in the comment section.

Full Name*

Email*

Street Address*

Street Address 2

City*

State*

Zip*

Phone*

Type of Membership

Sustaining Donation: Give monthly to HMA through automatic draft, starting at $5 a month. The amount given between July 1 and June 30 will determine member benefits.

One-time donation: Make an annual contribution to HMA starting at $25.

Sustaining Donation

One-time Donation

Billing Cycle Date

1st of every month

16th of every month

Monthly Payment

One-time donation

Enter the amount you would like to donate

Please enter a whole number above 5. Please do not put a dollar sign.

Comments

Comments / Others in household or organization to include with membership.

Total

$5 Per month