Make a Gift - Fidelco Guide Dog Foundation

You are currently making a general campaign gift to the Do-It-Yourself Fundraising campaign.

Field Is Required Select A Gift Amount:

$35.00

$60.00

$120.00

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Yes, automatically repeat this gift every month.

Name as you would like it listed in the fundraising honor roll (e.g. John Smith, Anonymous, etc.):

Yes, please display my gift amount publicly on the fundraising honor roll.

Personal Note (only visible to the fundraising participant):

Honor/Memorial Gift Information

Yes, this is an honor or memorial gift

Honor Gift Type:

In Honor/Memory of (First/Last Name of Person and/or Name of Animal):

Honoree Type:

Notification Name:

Notificant Street Address:

Notificant Apt/Box/Unit/Suite:

Notificant City:

Notificant State/Province:

Notificant ZIP/Postal Code:

Postal Notification Closing (Sincerely, Respectfully, Yours Truly, etc.):

Postal Notification Signature (e.g. John Smith, The Smith Family, Mr. & Mrs. Smith):

Yes, Send an eCard Yes, I would like to send an eCard.

Your First Name:

Your Last Name:

Send email notification on:Select month of credit card Select Expiration Year

Recipient email addresses (separated by commas):

Layout:

Email Subject Line:

Personal Message:

Yes, please send me a copy of this email notification.

Yes, please include the gift amount in the postal notification message.

Billing Information

Title:

First Name:

Middle Name:

Last Name:

Suffix:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Yes, I would like to receive communication from Fidelco Guide Dog Foundation.

Remember Me

Payment Information

Payment Method:

Credit CardBank Account

Credit Card Information:

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Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Bank Account Information:

Bank Routing Number: What is this?

Bank Account Number:

Verify Bank Account Number:

Account Type:

Checking
Savings

I agree to use my bank account as a payment method and authorize Fidelco Guide Dog Foundation to debit my bank account to fulfill my donation commitment.

Check Information

Yes, I want 100% to go to Fidelco Guide Dog Foundation. Please increase my amount by 3% to cover all transaction fees.

Please note that the option to add the transaction processing fee to your gift will apply to your gift today and all future monthly gifts.