Gift Information

To support the Virginia Gathering event, please consider a contribution to Tina’s Wish. 100% of your donation goes directly toward early detection ovarian cancer research. 

 

If you are fulfilling your Text for Pledge please select "other" and type in the amount that you pledged on your mobile phone. Please also include the mobile phone number that you used to text in the pledge in the field below so we can affiliate the pledge with the correct phone number.

Donation Amount*
  • $500
  • $250
  • $100
  • $50
  • $25
  • Other $
Mobile Phone Number (if this is a Text for Pledge fulfillment)

Donor Contact Information

Company
Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
Powered by eTapestry