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Our Children & Youth
Campus
Children's Wish List Donation Information
Contributing to the Children’s Wish Lists provide the goods and needs our children require and look forward to.
Amount:
$ 1,000.00
$ 500.00
$ 300.00
$ 100.00
$ 75.00
$ 50.00
$ 25.00
Other
$
*
Additional Information
Type of gift:
One-time gift
I want to participate in the monthly giving program
Frequency:
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Corporate:
This donation is on behalf of a company
Anonymous:
I prefer to make this donation anonymously
Comments:
Billing Information
Title:
Chef
Dr.
Dr. and Mrs.
Fire Chief
Fire Marshal
Hon.
Lieutenant
Mayor
Mayor Pro Tem
Mr.
Mr. and Mrs.
Mrs.
Ms.
Rabbi
Rev.
Superintendent
Supv.
The Honorable
Vice Mayor
First name:
*
Last name:
*
Country:
United States
Australia
Canada
Germany
Ireland
Japan
Netherlands
New Zealand
Norway
United Kingdom
*
Address lines:
*
City:
*
State:
<Please Select>
AA
AE
AL
AK
AB
AS
AP
AZ
AR
BC
CA
CZ
CO
CT
DE
DC
FM
FL
GA
GU
HI
HK
ID
IL
IN
IA
KS
KY
LA
ME
MB
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NB
NH
NJ
NM
NY
NL
NC
ND
MP
NT
NS
NSW
NU
OH
OK
ON
OR
PW
PA
PE
PR
QC
RI
SK
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
YT
*
ZIP:
*
Phone:
Email:
*
Payment Information
Cardholder's Name:
*
Credit Card Number:
*
Card Type:
American Express
Discover
MasterCard
Visa
*
Card Expiration:
01
02
03
04
05
06
07
08
09
10
11
12
/
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
*
Card Security Code:
*
Matching Gifts
My company will match my gift
Company:
*
Tribute Information
Type:
in honor of
in memory of
*
Name:
*
First name:
Last name:
*
Mail a letter on my behalf
*
Make a Donation
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