Monthly Giving Form

Monthly Giving Form

Monumental Wellness Retreat · 501(c)(3) nonprofit · Tax ID: 93-1624007
Date

MonthDayYear
Date
Name: Please enter your full legal name for donation acknowledgment and tax purposes

First NameLast Name
Email
We’ll send your donation receipt here and keep you updated on how your gift makes a difference
Phone Number
Please enter a valid phone number. Just in case we need to follow up or thank you personallyFormat: (000) 000-0000.
Would you kindly provide us with a photo of you to use in our marketing materials?
Upload/Take My Photo

Cancelof
Photo Permission :If you provided us with your photo, you give Monumental Wellness Retreat permission to use it in promotional materials (social, web, print). Your photo is never sold or shared outside Monumental Wellness Retreat. Initials
How did you hear about us?
Who can we thank?
Address: Optional but recommended for year-end summaries. If you’d like to receive a physical year-end summary or thank-you note, please enter your mailing address.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How would you like your donation to be used?

Other
Name of Project/Event (s)
How would you like to split your donation between multiple areas?
Important Information

Once you click Submit, you will be redirected to the secure PayPal payment screen to complete your donation.

Please note: you may be prompted for a shipping address during checkout — you can safely ignore this step, as no shipping is necessary.

Thank you for your patience and for supporting our mission!
Support Healing Every Month
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$10 Monthly Donation - Supporter
$10.00 for each month



$25 Monthly Donation - Monthly Member
$25.00 for each month



$50 Monthly Donation - Wellness Champion
$50.00 for each month



$100 Monthly Donation - Circle of Strength
$100.00 for each month



$150 Monthly Donation - Healing Advocate
$150.00 for each month



$200 Monthly Donation - Impact Partner
$200.00 for each month
Would you like to let us know if someone you care about is experiencing or has experienced abuse?
Name of Person(s)
Completely optional. We hold space for the people you carry in your heart. We’ll hold them in mind—even if you never share their name.
Should be Empty:

Monthly Giving Form

Support Healing Every Month