2024 Double Your Impact – Harstine Island Community Club

Double your impact in September and October. The HICC Board of Directors will be matching donations received up to $5,000.

Donation Amount

$ 25.00

$ 50.00

$ 100.00

$ 200.00

$ 250.00

Other Amount

Other Amount $

Total Amount

Email Address *

Direct Debit

Account No. *

Bank Identification Number *

Bank Name *

Account Holder *

Account type *

Agreement Your account data will be used to charge your bank account via direct debit. While submitting this form you agree to the charging of your bank account via direct debit.

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

You can find your Bank Routing Number and Bank Account number by inspecting a check.

Harstine Island Community Club is recognized as a tax-exempt organization under section 501(c)(3) of the Internal Revenue Code, EIN 80-0496918. Contributions to organizations with 501(c)(3) status may be tax deductible. Please consult your tax advisor to determine deductibility of this contribution.

Harstine Island Community Club is registered with the Washington Secretary of State’s Charities Program, registration number 2009180. Additional information available at 1-800-332-4483 or online at www.sos.wa.gov/charities.