Register a #StandWithMe Page - Healing Hearts Ministries

Anyone can participate in a #StandWithMe fundraiser to benefit Healing Hearts.

Use the form below to register your page. Once we review and approve your submission, you will receive a special #StandWithMe page for your friends to use to donate.

*Please allow up to 48 hours for your #StandWithMe page to be approved.

My Contact Details

First Name

Last Name

Email address

Mailing Address 1

(apt, unit, etc)

City

State/Province

Zip/Postal

Phone

May we add you to our newsletter list?

Yes, send by Email Yes, send by Mail No, thanks

My #StandWithMe Page Details

Fundraising $ goal amount (drag to set amount)

$500

(The object of this goal is to make your #StandWithMe efforts fun. Use it to challenge yourself and your donors.)

Tell page visitors why you are raising funds for Healing Hearts...

Your Profile Image

Please upload an image of your face. Must be minimum 600x600 pixels. *If none supplied an anonymous profile icon will be used.