Monthly Donation List Removal

With our current system, there is no way to pause donations. The below form is to officially request to be removed from the monthly donation list. If you ever want to become a monthly donor again, please fill out our donation form.
Name*
First Last
Email*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Phone
Date of Signup
MM slash DD slash YYYY
Was this monthly donation made on behalf of someone else?*
- Yes
- No
Please provide the person's name who this monthly donation was being made on behalf of*
By submitting this form, I am asking the Aletheia House to remove me from the monthly donation list*
- Yes
- No
CAPTCHA