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 18th 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
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
Updated Current Year Amount
Name
This field is for validation purposes and should be left unchanged.

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Donation Information

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