MLC DAY - WELS

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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:

On:
Starting: Ending:

Anonymous:

I prefer to make this gift anonymously. (For details, see “FAQ.”)

Tribute gift? :

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:

*

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

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:

*

Description:

*

Mail a letter on my behalf (optional).

*

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