Hope For Haiti Now: A Global Benefit For Earthquake Relief

This is your time to help.

100% of funds raised will go towards relief efforts in Haiti and there are NO backend costs. Additionally, the Entertainment Industry Foundation has waived all administrative fees.

A massive, 7.0 magnitude earthquake struck Haiti near the capital of Port-au-Prince on Tuesday, January 12th.  The damage to buildings is extensive and the number of injured or dead is estimated to be over 100,000.

Your gift will help rush emergency supplies to survivors of this catastrophe. Your gift now will help distribute life-saving relief supplies including food, clean water, blankets, medical supplies and tents to children and families devastated by the earthquake and aftershocks in Haiti.

Thank you for your generous gift in this time of need.

$25

$50

$100

$250

$500

$1000

	You can always choose your own amount (US Dollars)
Your Amount: *	.
First Name *
Last Name *
Billing Address *
Billing Address 2
City *
	Not US or Canada
State or Province *	-- Select State --APO/FPOAlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaManitobaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew BrunswickNewfoundland and LabradorNew YorkNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUS Virgin IslandsUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukon TerritoryOther
Zip or Postal Code *
Country *	AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia & HerzegovinaBotswanaBrazilBritish Indian Ocean TerBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaChristmas IslandCocos IslandColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHawaiiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMalawiMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNambiaNauruNepalNetherland AntillesNetherlands (Holland, Europe)NevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau IslandPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of MontenegroRepublic of SerbiaReunionRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanSamoaSamoa AmericanSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTahitiTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (Brit)Virgin Islands (USA)Wake IslandWallis & Futana IsYemenZaireZambiaZimbabwe
Email Address
(num only) Phone Number
	Payment Method: Credit Card Credit card information is not needed for PayPal. You will be routed to a PayPal confirmation page upon submitting.
Card Type *	-- Select -- Visa MasterCard Discover American Express
Name on card *
(num only) Card Number *
Expiration Date (MM/YY) *	-- 01 02 03 04 05 06 07 08 09 10 11 12 / -- 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Card Security Code *	What's this?
Stay in Touch
*Please enter this 6 digit security code:
	YES - I would like to receive information in the future from Hope For Haiti Now or a successor charitable organization. Click here for the privacy policy