Square/Credit Card

Donate by Credit Card, ApplePay, or GooglePay

Please follow STEPS 1 & 2 to complete your donation.
If you'd like us to send an e-card to notify a loved one about your gift, please also fill out the GREEN form below.

STEP 1

Fill out the grey form below to receive an official tax donation receipt and/or indicate your support for a specific initiative.

Square Donation | Information Form

Please issue a tax donation receipt (available for donations of $25 and up) *

. YES . NO

* Indicates required field

Name *

First

Last

Phone Number *

Make receipt out to: (if different than above) *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I would like my donation directed to: *

Comment *

Submit

Please remember to click the DONATE button below to complete your donation via Square. This grey form provides information for tax purposes only and lets us know which intiative(s) you are supporting.

STEP 2

Please click the Donate button in this box to donate by Credit Card, ApplePay, or GooglePay.

You will be redirected to the SquareUp website. Once your donation is processed, you will be ask if you would like a receipt. This is a transaction receipt only.

Thank you

Donate via Square

Entered by customer

Please remember to follow STEPS 1 & 2 above to complete your donation. This form provides information for dedication purposes only.

STEP 1

Square Donation | Information Form

STEP 2

Dedication RequestPlease fill out this form if you'd like us to send an e-card to notify your loved one(s) about your gift

Dedication Request
Please fill out this form if you'd like us to send an e-card to notify your loved one(s) about your gift