Double Your Impact for Life: Matching Gift Opportunity Ends April 20!

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Be a Matching Gift donor for our Midlands Gives campaign and donate below today!

Matching Gifts must be received by April 20, 2024.

Your Contact Information

First Name *

Last Name *

Business Name

Email *

Phone

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country / Region

Honor/Memorial Information

In Memory of (honors an individual who has passed away) In Honor of (marks a special occasion for a friend or family member)

Designated Contact Name

Address Line 1

Address Line 2

City

State

Zip

Country / Region

Phone

Your Payment Method

Your Billing Information

My billing information is the same as my contact information.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country / Region

Your Payment Information

Credit Card Number *

CVV Number * What is this?

Credit Card Type *

Expiration Month *

Expiration Year *

Additional Comments

Double Your Impact for Life: Matching Gift Opportunity Ends April 20!

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Your Donation Amount

Your Contact Information

Honor/Memorial Information

Your Payment Method

Your Billing Information

Your Payment Information