Donate Online to Federation’s Campaign

Donation Information
Donor Name*
Prefix First Last
Non-Monthly - Add
Monthly - Add
Non-Monthly - Donation Amount
Monthly - Donation Amount
Your Donation or Pledge Payment
Your Monthly Donation
{:116}{:117}
Would you like to make an additional donation or pledge payment?
- Yes, add donor or pledge payment
Additional Donor Name #1*
Prefix First Last
{:118}{:119}
Donation/Pledge Payment Amount*
{:116}{:117}
Would you like to make an additional donation or pledge payment?
- Yes, add donor or pledge payment
Additional Donor Name #2*
Prefix First Last
{:118}{:119}
Donation/Pledge Payment Amount*
{:116}{:117}
Would you like to add another donor?
- Yes, add donor or pledge payment
Additional Donor Name #3*
Prefix First Last
{:118}{:119}
Donation/Payment Amount*
Total
Your Monthly Installment Amount

Your Monthly Donation*
Price: $0.00
Your donation will be made today and on the 14th of each following month. You may modify or suspend the donation at any time by contacting Lisa Cutler at 248-203-1458 or cutler@jfmd.org.
Your One-Time Payment
Price: $0.00
Would you like to help cover the credit card transaction fee on your donation?
Would you like to cover the transaction fee of 0 on your donation?
- Yes, charge me for the credit card transaction fee.
Transaction Fee
Price: $0.00
Total (Including Credit Card Transaction Fee)
Your Monthly Donation
Price: $0.00
Your first monthly payment will be {:43.2}. Your remaining {:112} payments will be {:73.2}.
Monthly payments will be charged on the 15th of each month and paid in full by December 31, 2021.
Remainder Amount Added to First Month
Price: $0.00
Remainder Amount Field (Needed for Validation Purposes)
First Payment*
Price: $0.00
Monthly payments will be charged on the 15th of each month and paid in full by December 31, 2021.
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
International (Non-U.S.) Donor?
Please select 'Yes' from menu below
Billing Address*
Street Address Address Line 2 City State/Province ZIP / Postal Code Country
Select Your Country*
Phone*
Email*
Donation Amount Paid Thus Far
Total Paid After Today
Today's Total for Finance Form
Contribution Recipient
Comments
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Updated Current Year Amount
Comments
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Donation Information

Your first monthly payment will be {:43.2}. Your remaining {:112} payments will be {:73.2}.