Melwood Donation Form

Become a Member of the 1963 Society!

Melwood's 1963 Society is a membership group with the mission of raising support for Melwood's Annual Fund to support critical and innovative projects.

Field Is Required Select Gift Amount:

Enter amount

$1,963.00

Friend

$2,500.00

Sponsor

$5,000.00

Patron

$10,000.00

Benefactor

Gift type:

One-time gift

Sustaining gift

Select a Gift Duration:

Total Gift: 0.00

Additional Amount:

Billing Information

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

Yes, I would like to receive communication from Melwood.

Payment Information

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?

Matching Gift

Does your employer have a matching gift program? Please use the field below to find out.

Total Gift: $0.00

Transaction Fee Checkbox

I wish to cover the transaction fees for Melwood and agree to increase my donation to accomplish this.