Donation Page-Willmar

Thank you for your support of Carris Health Foundation!
Please use this secure form to complete your transaction.

Fields marked * require an entry.

GIFT INFORMATION

Amount:

$1,000.00$500.00$250.00$100.00

Please use my gift for:*

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Open the calendar popup.

Please confirm recurring donation:

Additional Information (check those that apply)

I prefer to make this donation anonymously:

Yes

This donation is on behalf of a company:

TRIBUTE INFORMATION

This donation is in honor of:

This donation is in memory of:

Please send an acknowledgement of my gift to (Include name and address):

DONOR INFORMATION

Name(s):*

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

Payment processing is powered by Greater Giving, a division of Global Payments, Inc.
Information collected is protected by the latest in SSL encryption, so you can make a transaction with confidence.

Questions or comments? Please contact Carris Health Foundation by phone 320.231.4141
or email carrishealthfoundation@carrishealth.com.

Privacy Policy Statement: Your personal information will not be shared with anyone other than
Carris Health Foundation and the payment processor to securely process this transaction.

Share

GIFT INFORMATION