Women's Medical Fund

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Merchandise:

Please allow 10 business days for delivery.

Qty

Description

Amount

Total

Tote Bag

$15.00

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Onesie (size 6 months)

$20.00

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Onesie (size 12 months)

$20.00

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Shipping Fee - per item

$2.00

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Please indicate number of items ordered.

Donation

Total: $0.00

Payer Information:

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

Acknowledgment of your gift will be e-mailed to this address.

Shipping Information:

Please fill in if this address is different than Payer Information.

Name:

Address:

Address 2:

City:

State:

Zip Code:

Gift Message:

WMF is a unit of Resources for Human Development, a registered charitable organization.
Registration and financial information is available by calling toll free within PA 1-800-732-0999.
Registration does not imply endorsement.

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *