Donate Now!
Thank you for making a donation to The Children's Center. Every gift – whether $10, $100 or $1 million – makes a difference in the life of a child.
Note:
This
Donate Now!
form is for a one-time donation. If you wish to donate on a recurring basis, please see our "Subscriber" form in the Ways to Give section. With one-time or recurring donations, donors may indicate that their gift is a tribute (honorarium, memorial, remembrance, etc.)
The information requested below will help us apply your gift in the way you choose and acknowledge your gift. All of the payment information will be requested AFTER you "Send" this form. After sending, just click on the PayPal "Donate" button and use your credit card (or login to your PayPal account) to make your donation.
Thank You!
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required field.
Donation Information
$25.00
$50.00
$100.00
Enter an Amount
Designation:
*
-- Please select --
Wherever needed most
Building Fund
Endowment Fund
Therapy and Education
Medical Equipment
Family Fund
Donor Information
(For our records only, The Children's Center never distributes your information.)
First Name:
*
MI:
Last Name:
*
Address 1:
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Address 2:
City:
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-- Please select --
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State:
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Zip:
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Phone:
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(format: XXX-XXX-XXXX, where X is a number)
E-Mail:
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My donation will be matched by my and/or my spouse's employer.
"Match" Employer:
I / we wish to make this donation anonymously.
Yes,
please add my name to The Children's Center's mailing list.
Please, enter the text shown in the image into the field below.
Image Text:
Tribute Information
Please enter the name of the individual for whom you are making your gift; then, select the type of tribute gift and enter specific tribute information in the description field.
Example:
Gift for
Name:
John Doe,
Type:
In honor of,
Description:
His Graduation.
If you would like us to notify the honoree or someone else, check "Please mail an acknowledgement on my behalf" and complete the name and address information where the acknowledgement should be sent.
Name:
Type:
-- Please select --
In memory of
In honor of
In recognition of
For the speedy recovery of
In appreciation of
In celebration of
Description:
Please mail an acknowledgement on my behalf.
Name to notify:
Address:
City:
ST:
--Please select--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip:
How did you hear about The Children's Center?
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