iLEAP Donation Form

	Donate to iLEAP Thank you for your gift to iLEAP. Your donation is tax-deductable as we are a 501c3 tax-exempt nonprofit organization. Our tax id is 20-1347313.
	Title
	First Name*
	Last Name*
	Address 1*
	Address 2
	City*
	State*
	Zip*
	Country
	Phone*
	Email*
	Amount you would like to donate
	Would you like to make this donation in someone else's name? Yes No

	Honorary Donation If you would like to make an honorary donation in someone else's name, please fill out their info below:
	Title
	First name*
	Last Name*
	Message (optional)

	IMPORTANT After you submit this form it will take you to Google Checkout where you can place your donation, using your credit card. Both this and the Google Checkout form are secure sites.

Donate to iLEAP