Monetary Gifting

Monetary gifts of every size are greatly appreciated to help us carry out the charitable work we do for our community. No gift is too small! Your contribution can truly make a difference. We couldn’t have the impact on the community that we do without donors like you! 

Personal Information

Donor Type Individual
Corporate

Donor Name*    

First Name*    

Last Name*    

Address 1*

Address 2

City*  

State* -Please Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrictOfColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNewHampshireNewJerseyNewMexicoNewYorkNorthCarolinaNorthDakotaOhioOklahomaOregonPennsylvaniaRhodeIslandSouthCarolinaSouthDakotaTennesseeTexasUtahVermontVirginiaWashingtonWestVirginiaWisconsinWyoming

Zip*  

Phone*  

Extension

Email*

Type of Donation*

-Please Select-#GivingTuesdayArea of Greatest Need/ No PreferenceBridget’s GiftButterfly ProjectCancer Resource Center (CRC)Diabetes EducationDrive for School SuppliesGolf TournamentHealth Care ScholarshipsHealthy Eating AdventureHealthy Kids ProgramSafety Helmet ProgramTails of Joy/ Pet Visitation ProgramTractor RodeoWalk-Fit ProgramYuma Regional Cancer Center (YRCC)

Select or Enter Amount* $50
$100
$250
$500
$1000
Amount of choice

Enter Amount*

Name on Card*

Card Number*

Expiration* 010203040506070809101112 2020202120222023202420252026202720282029

Card Security Code*

Required