Contact MLC Advancement
Gift amount and designation
Select your gift amount
Amount:
$ 50.00
$ 100.00
$ 250.00
$ 500.00
$ 1,000.00
Other
$
*
Additional information
In this section you can set up a recurring gift, mark your gift anonymous, or indicate whether this will be a tribute gift from you alone or from you and your spouse. (For tributes, you'll provide more information at the bottom of this donation form.)
Type of gift:
One-time gift
Recurring gift
Frequency:
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Anonymous:
I prefer to make this gift anonymously. (For details, see “FAQ.”)
Tribute gift? :
No, this is not a tribute gift in someone's honor or memory.
Yes, a tribute from me to the person(s) I will list below.
Yes, a tribute from my spouse and me to person(s) below.
Billing information
If using a form fill tool, note that it auto-fills the Tribute Honoree(s) full name field at the BOTTOM of this form, which you will need to CLEAR if no tribute gift is selected.
Title:
<Please select>
Mr
Mrs
Miss
Ms
Adm
Attorney General
Atty
Capt
Cdr
Col
Dean
Dr
Frau
Judge
Lt
Lt Col
Maj
PFC
Pres
Prof
Prof Dr
Prof em
Rev
Rev Dr
Sgt
Vicar
Pastor
*
First name:
*
Last name:
*
Country:
United States
Albania
Antigua and Barbuda
Aruba
Australia
Austria
Belgium
Bermuda
Bosnia
Brazil
Bulgaria
Cameroon
Canada
Cayman Islands
Chad
China
Colombia
Cuba
Czech Republic
Denmark
Dominica
Dominican Republic
Ecuador
Egypt
Estonia
Finland
France
Gambia
Germany
Greece
Grenada
Guam
Guyana
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Italy
Japan
Jordan
Kenya
Latvia
Lithuania
Malawi
Malaysia
Mali
Marshall Islands
Mexico
Mozambique
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Nigeria
Norway
Palau
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Romania
Russian Federation
Saint Kitts and Nevis
Saint Lucia
Saudi Arabia
Serbia
Singapore
Spain
Sri Lanka
Sweden
Switzerland
Taiwan, Province of China
Thailand
Tonga
Trinidad and Tobago
Turkey
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
Uzbekistan
Virgin Islands, U.S.
Zambia
*
Address lines:
*
City:
*
State:
<Please Select>
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
CZ
FM
GU
MH
MP
PW
PR
VI
AA
AE
AP
AB
BC
MB
NB
NL
NT
NS
ON
PE
QC
SK
YT
NU
AP1
ANT
ASU
BW
BY
BL
AR1
COA
CAS
CA1
11
TH2
TH1
DE1
DC1
GUA
CN
KOW
LI
Lus
BR2
Mau
BR1
NSW
New
NK
RU1
NLE
OST
QLD
ROO
RP
RS
Sai
SG
StJ
SP
SN
SHI
SW
TXQ
TPE
TG
TI
Tok
TO1
ZH
KO1
*
ZIP:
*
Home phone:
Email:
*
Payment information
If paying with credit card you must click the "Donate" button to proceed.
Payment method:
Credit card
Electronic Fund Transfer (EFT)
Tribute information
If you wish to honor someone special, provide their name below and select a tribute type. Use “Description” to identify the honoree’s city and state (or special occasion, e.g. “50th birthday”).
Honoree(s) full name:
*
First name:
Last name:
*
Tribute type:
in honor of
in memory of
*
Description:
*
Mail a letter on my behalf (optional).
*
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