Friends of Karen - Acceptiva

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STEP TWO
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RECEIPT

BIRTHDAY PRESENTS

Thank you for your support of the Friends of Karen Birthday Gifts for Children Program. Every child looks forward to their special day. That is why we provide a gift for every child in the family, so that birthdays remain a happy occasion even in the midst of illness. This takes one additional burden off the shoulders of parents, who want only to stay by their child’s side.

You can be certain that these special gifts, made possible through your caring and concern, will bring comfort and joy to critically ill children and their siblings at a very difficult time in their lives.

$25

$50

$100

$250

$500

$1,000

$2,500

Other Donation Amount

Choose A Frequency

Recurring Frequency:

I would like to pay the 3% credit card processing fee so that Friends of Karen receives my full contribution.

Gift Program Designation: *

Company

Company / Organization Name:

This donation is on behalf of a Company or Organization.

My employer will match my gift.

Donor Information

Salutation:

First Name: *

Middle Name:

If not applicable enter 'none'.

Last Name: *

How You Prefer To Be Addressed:

For example, if your name is Elizabeth, do you like to be called Betsy or Liz or something else?

Billing Address: *

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

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Making a gift in honor or in memory of a special person is a wonderful way to recognize them and provide hope and comfort to others. If you would like, we will send a letter to a recipient of your choice informing them of your thoughtful gesture.

Tribute Type:

Full Name of Honoree:

If you wish us to send a notification letter, please provide the following recipient information.

Salutation:

Name:

Address:

Address 2:

City:

State:

Zip Code:

Special Message:

Your Payment Information