eConnect Card

Thanks for being our guest at Emmaus HRVA! Our gift to you for being a guest is a $10 donation to a local Hampton Roads Non-Profit, of your choice! All you have to do is fill out the eConnect Card and select the non-profit of your choice!

As a thank you for filling out your eConnect card, We have a $5 Starbucks Gift Card for you as well!
We look forward to the opporunity to see you again soon!

* Indicates required field

Name *

First

Last

Spouse Name (If Applicable) *

First

Last

Phone Number *

Email *

Select the one that applies *

Child Name #1 *

Grade Level *

Child Name #2 *

Grade Level *

Child Name #3 *

Grade Level *

Child Name #4 *

Grade Level *

Child Name #5 *

Grade Level *

In addition to your first time guest gift of a $5 Starbucks Gift Card, we will also donate $10 in your honor to a local Hampton Roads Non-Profit that you choose below.

My NonProfit Donation Selection : *

- Catalyst Effect (Youth Mentorship) - VBJI (Human Trafficking) - CareNet (Pregnancy Center) - FourOaks Day Center (Homelessness)

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