Please enter the following information if you would like to make a contribution to Timmy Global Health.
Items marked in
bold
are required fields.
Contact Information
Title
Mr.
Mrs.
Miss
Ms.
Dr.
First Name
Middle Name
Last Name
Enter address, city, state and postal code
as filed with your financial institution.
Address
City
State
Postal Code
Country
Email
Phone
Website
Gift Information
Fund
Where Needed Most (Unrestricted)
I AM TIMMY
Building Fund
Banelino, Dominican Republic
Bebor, Nigeria
Hank Benjamin Memorial Scholarship Fund
Hospital Stadler Richter (Tena), Ecuador
Mercy Medical Missions, Nigeria
Pop-Wuj, Guatemala
Tierra Nueva, Ecuador
Amount
$
Recurring
One-Time
Annually (1)
Semi-Annually (2)
Quarterly (4)
Bi-Monthly (6)
Monthly (12)
Semi-Monthly (24)
Bi-Weekly (26)
Weekly (52)
Payment Information
Credit Card
Card Type
Visa
MasterCard
Card Number
(No Dashes or Spaces)
CVV2
CVV2 Information
Expiration Month
Expiration Year
Virtual Check/Savings transaction
The following information is required only for Virtual Check donations.
Account Type:
Checking
Savings
Bank Routing Number:
Account Number:
Comments
Comments
Security Code
Type the text shown in the box into the field below. All characters must be entered in UPPERCASE.
Reset