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AMOUNT:
$ 1,000.00
$ 500.00
$ 250.00
$ 100.00
$ 50.00
$ 25.00
Other
$
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Additional Information
Please consider making your gift recurring. Pinky Swear Foundation understands that life is a balancing act. We gratefully accept recurring gifts that are debited from your checking/savings account or credit card on a monthly basis. As an example, just $10 a month can provide parking fees for an entire year for a parent taking their child to treatment each month.
TYPE OF GIFT:
One-time gift
Recurring gift
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:
WHAT INSPIRED YOU TO GIVE TODAY?
Annual Gift
Browsing the internet
Love Your Melon webpage
2017 Charlotte Triathlon
2017 Quad Cities 5K & Fun Run
2017 Minneapolis Triathlon
2017 Kansas City 5K & Fun Run
2017 Chanhassen 5K & Fun Run
2017 Des Moines 5K & Fun Run
2017 Omaha 5K & Fun Run
Other
*
Billing Information
TITLE:
Mr.
Ms.
Mrs.
Dr.
Miss
FIRST NAME:
*
LAST NAME:
*
COUNTRY:
United States
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ADDRESS LINES:
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CITY:
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STATE:
<Please Select>
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Mon
Non
OXO
SAS
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ZIP:
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PHONE:
EMAIL:
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Payment Information
PAYMENT METHOD:
Credit Card
Direct Debit
CARDHOLDER'S NAME:
*
CREDIT CARD NUMBER:
*
CARD TYPE:
Visa
American Express
Discover
MasterCard
*
CARD EXPIRATION:
01
02
03
04
05
06
07
08
09
10
11
12
/
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
*
CARD SECURITY CODE:
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My gift is a tribute to someone special (optional):
TRIBUTE TYPE:
in honor of
in memory of
in recognition of
*
Name:
*
TRIBUTE FIRST NAME:
TRIBUTE LAST NAME:
*
Yes, please notify the honoree(s) that a gift has been made in their honor (to assist our office in notifying the honoree(s), please provide any contact information; if unknown, leave blank).
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7835 Telegraph Rd | Bloomington, MN 55438
Phone: 952-974-9600 | Email:
info@pinkyswear.org