Complete this form to be contacted about ways to donate to Midland Habitat First Name(Required) Last Name(Required) Contact Phone Number(Required) Contact Email Please check all the items you are interested in talking with Habitat about. Donating Land Donate Real Estate I want to include Habitat, in my estate planning I want to discuss how to do a matching gift I would like to discuss a donation in honor of someone I would like to discuss a donation in memory I would like to host a third party fundraiser I would like to donate building materials I would like to donate tools from the wish list I would like to donate a car Additional Information for Midland HabitatPlease include any additional information about your legacy giving you would like to include. If you are interested in donating land, and have a picture of the land you want to donate, please upload a picture (this is optional)Max. file size: 2 GB.Consent(Required) I agree that I am not a robot