HAAM Donation Form 2024

Help HAAM Keep Music in Austin Alive & Well!

Your donation to HAAM enables us to serve even more hard-working musicians, DJs, and music teachers—connecting them to affordable, comprehensive, and life-saving healthcare services. Whether it’s $10 or $1,000 toward the cost of our musicians’ healthcare, your support makes a real impact.

Special Note: we have transitioned to a new payment platform (provided by Charity Engine), so things might look and feel different, but rest assured that your information is safe and secure.

Gift

Frequency

Tribute Info

Tribute Type

Tribute Name

Recipient First Name

Recipient Last Name

Acknowledgee Address 1

Acknowledgee Address 2

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Acknowledgee Email Address

Personal Message

Contact Info

I am donating as a...

Organization Name

First Name

Last Name

Country

Address 1

Address 2

Postal Code

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State/Province

Phone Number

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Yes, I would like to receive email communications.Yes, I would like to receive email communications.

Payment

Card Number

Card Type

Expiration Month

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Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

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