Build Back Pali Contribution Details

Please complete this form to streamline contribution processing. Bank memos are often cut off or have unclear descriptions, so this information helps ensure that funds are received/allocated correctly and that tax receipts are sent to the correct address.

Nonprofit program accounts are supported by LOHAS and administered by Legacy Global Programs (EIN 20-8099462). These are 501(c)(3) public charities and contributions are tax-deductible to the full extent of the law. If you have any questions, please do not hesitate to reach out to us at contribution@LOHAS.org.

Your First Name*

Your Last Name*

Your Email*

Your Phone Number

Donor Name

(use company name for corporate donations)

Donor Email

(if different than above)

Contribution Amount*

(email us for donations of non-cash assets or foreign currency)

Please add any additional information that you would like to include about this contribution:

Please fill out one of the following three sections below based on how you plan on making your contribution - Option 1: Direct, Option 2: DAF, or Option 3: Foundation.

Option 1. Direct Contribution

If you are making a direct donation, please specify the following details:

a. How are funds being donated?

Please select ACH / Wire / Check / Other. Email us for asset donations such as stock, real estate, crypto, collectibles, etc.

b. When are funds being donated?

Month/Day/Year

c. Where should our administrator send the tax receipt?

(Please provide email or mailing address)

Option 2. Donor-Advised Fund (DAF) Contribution

If you are making a contribution using a DAF, please specify the following details:

a. DAF Account Name

b. DAF Sponsor

Option 3. Foundation Contribution

If you are making a grant from a foundation, please specify the following details:

a. Foundation Name

b. Name of Contact at Foundation

c. Foundation Contact Phone

d. Foundation Contact Email

Thank you for your contribution!