URGENT REQUEST

Thank you for supporting the staff and their families of the Wellness Center.

THE NUMBERS AND THE NEED: the total salaries for the 15 workers comes to $12,000 for the month.

SETTING UP A GIFT

For recurring payments, enter the amount to be paid at the desired frequency. For example $50 per month will be $600 a year. If you are currently under an existing recurring payment please make mention of fact under the donation note field, so we can make adjustments if necessary.

PERSONAL INFORMATION

MAILING ADDRESS

In order for us to mail your receipt to you we will need your mailing address.

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Non-USA addresses should enter all zeros for the zip code.

CONTACT INFORMATION

We don't expect problems to happen with your donation, but sometimes they do. How can we contact you if we need to resolve a problem?

Home, Mobile, Work:

CREDIT CARD INFORMATION

Please provide us with the credit card information. We do not store this information in your account. Our staff can only see the last four digits of your card in keeping with the PCI requirements.

When submitting this form for processing you are agreeing to the terms of our privacy policy.

CREATE AN ACCOUNT

This section is completely optional. If you have donated with us but have no idea what your login is, that's OK. Feel free to skip this section. We'll merge the records if we have your account on the system. By logging in your giving will be streamed-lined as the system will automatically fill-in information that is currently on file. You can correct that information too.

For first time donors, there are many advantages to creating an account on our system. You can control what information we keep on you. You can also opt-out of our eNews publications. If you would like to manage your account (i.e., view donation history, change address, etc.), please create a login name and password. You can use your email address as your login name, or create something else, or use Facebook credentials.