Blue Fields are Required
Name must match name on credit card.
Monthy donations must be greater than $20.00 to be processed.
Amounts are in US dollars . Enter numbers only (i.e. Enter $5,000.00 as 5000) .
Enter information to further clarify the designation in the Notes. (i.e. Resident Support requires the resident's name - please enter below).
For a donation of $25 or more you may select one of the available gifts to be mailed to the billing address given above. (This does not apply to Resident Support donations).
I authorize TLC to charge my account the amount I entered above (this includes my authorization for TLC to reverse any charges made in error). This authority will remain in effect until I give written notice to cancel it. I also understand that my donation is nonrefundable.