MVLE Donation Page - The Fedcap Group

Donation Information

Amount:

Champion

$ 500.00

Advocate

$ 250.00

Sponsor

$ 100.00

Supporter

$ 50.00

Friend

$ 25.00

45th Anniversary Giving Circle

$ 45.00

Other

$

*

Additional Information

Type of gift:

One-time gift
Recurring gift
Pledge (installments)

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Billing Information

Title:

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone(In case we have a question):

*

Email:

*

Payment Information

Payment Method:

Credit CardBill me later

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

help

*

Matching Gifts

My company will match my gift

Company:

*

Tribute Information

Would you like to Honor someone you love, or remember someone you've lost, with a gift in their name? Please provide the tribute information below:

Name:

*

First name:

Last name:

*

Type:

*

Description:

*

Mail a letter on my behalf to

*