Donations Forms

A LITTLE CAN CHANGE A LOT

Your Gift

Thank you in advance for your donation.

Amount

Your Donation

* Fund

Would you like to make this a periodic or recurring gift?

Yes, make this a periodic or recurring gift

Would you like to state who referred you

Please share the person who referred you, so we can send a nice Thank You eCard, including First Name, Last Name and Email.

Yes, I want to share who refferred me

Would you like to make this a Tribute Gift?

Yes, I wish to make this a Tribute or Memorial Gift

About You

Title

* First Name:

Middle Name:

* Last Name:

* Email:

Company / Division

* Phone Number:

* Country:

* Address:

Apt/Suite/Unit/Other:

* City:

* State/Province:

* Zip/Postal Code:

Comments from Donor

Comments Welcome:

Mailing Preferences

Board Mailing

Contact me by phone

General Announcements

Monthly Newsletter

Payment

Credit Card Information

Credit card

* Name on Credit Card:

* Card Number:

* Month:

* Year:

* CVV:

What is a CVV Code?

CVV Code is a security code used to protect your credit card and prevent fraudulent use.

Visa/MasterCard/Discover

The CVV Code is the last 3 digits immediately after your credit card number on the back of your card.

The CVV Code is located within the signature panel.

American Express

On American Express cards the CVV Code is the 4 digits above and to the right of your credit card number on the front of your card.

Amount To Charge

I'd like to cover the 3% processing fee

Acceptance

Your request will be processed. Do you want to continue?

Amount$ 0.00

To make another donation click here.

Transaction Approval Notice

Please wait for your transaction to complete. You will see a green message above, the instant your transaction is approved. You will also receive a confirmation email.

Important notice: if you do not see our emails right away, please check your bulk/spam folders and accept our email. You only need to do this once.

TODAY CAN BE THE DAY YOU BRING A SMILE TO SOMEONE IN NEED

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A LITTLE CAN CHANGE A LOT

Transaction Approval Notice

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