Working together we can make a difference! Current Start REVIEW Complete Donor Information First Name Last Name Home Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Address Phone Number Designation Options Love Offering HUG Other Donor Designation Notes Would you like to make this donation "In Honor of" of "In Memory of" someone? Yes No In Honor of / In Memory of: Select: In Honor of In Memory of First Name Last Name Provide the Name and Address / emaill address of anyon who should be notificed about this contribution. Credit Card Donation Would you be willing to cover the 3% online processing fee? Yes No Frequency of Your Donation One-Time Donation Recurring Donation (monthly) Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below. One-Time Amount $10 $25 $50 $100 $250 $500 Other… Amount $ Monthly Recurring Amount $10/month ($10.30/month charged) $25/month ($25.75/month charged) $50/month ($51.50/month charged) $100/month ($103/month charged) $200/month ($206/month charged) $250/month ($257.50/month charged) Quarterly Recurring Amount $50/quarter ($51.50/quarter charged) $125/quarter ($128.75/quarter charged) $250/quarter ($257.50/quarter charged) $500/quarter ($515/quarter charged) $1000/quarter ($1030/quarter charged) $1,250/quarter ($1287.50/quarter charged) Frequency of Your Donation One-Time Donation Recurring Donation (monthly) Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below. One-Time Amount $10 $25 $50 $100 $250 $500 Other… Amount $ Monthly Recurring Amount $10/month $25/month $50/month $100/month $200/month $250/month Quarterly Recurring Amount $50/quarter $125/quarter $250/quarter $500/quarter $1000/quarter $1,250/quarter Donor Notes Payment Information Preview
