Yes, I will join HCA in the Roots & Reach Initiative!Pledge FormYour PledgeIn support of the Roots & Reach Initiative, I/we pledge to give a total of:$ Total Pledge(Required)Number of payments(Required)Payment schedule(Required) Annually Quarterly MonthlyFirst Payment Date(Required) MM slash DD slash YYYY I/we would like to designate our gift to the following areas of impact ($ amount or % of total gift):(Required) Wherever it is needed most Hill Country Leadership Institute expansion Place-based field staff to support local efforts Long-term resilience through a robust endowmentWherever it is needed ($ or % of total)(Required)Hill Country Leadership Institute ($ or % of total)(Required)Place-based field staff ($ or % of total)(Required)Long-term resilience ($ or % of total)(Required)Primary Donor ContactDonor Name(Required) First Middle Last Suffix Phone(Required)Email(Required) Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Add Secondary Donor? YesSecondary Donor ContactName First Middle Last Suffix PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment InformationPayment(Required) I will mail a check to the Hill Country Alliance I'd like to pay by card or ACH, please reach out to me to set up payment I will send my gift through a donor advised fund I am interested in making a planned gift OtherIf Other, please describeΔ
