Donor Information

Please Select One
  • Individual
  • Corporation
  • Community/Civic Group or Foundation
Country*
State / Province*
Address*
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Email*
Confirm Email*
Phone*

What could your gift do?

Donation Amount*
  • $25 could help provide toiletries and amenities for our families
  • $75 could cover the daily utility bill
  • $125 could help keep our pantry stocked for one week
  • $200 could run our shuttle van for an entire month
  • $500 could buy a new computer for our media room so families can keep in touch with friends and family back home
  • Other $
Matching Gift
  • I am employed by a company that may match this gift and I will contact my HR office to process the paperwork required.
Fund*
  • General
  • Anniversary Gala
  • Tributes - Individual
  • General Donations-Individual
Gift Privacy Preference
  • I would prefer to stay anonymous.

If you would like us to send an acknowledgement letter to notify your Tribute of a gift made in their name, please provide us with their mailing information below.

Title
Full Name
Address
City
State
Postal Code
What brought you to the site to give today?
  • E-Newsletter
  • Social Media (Facebook, Twitter, YouTube)
  • Regular Media (Radio, Television, Newspaper)
  • Direct Mailing to my home or business
  • Special Event (McDazzle, Golf, Red Shoe Events, Keeneland, etc)
  • Other

Payment Information

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$
Name on Card*
Card Number*
Additional Comments

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