Donation Amount
*
Suggested Amounts
$5,000
$2,500
$1,000
$500
Other
Recurring
*
One Time
Monthly
Quarterly
Add 3% to my donation to cover credit card fees.
Total
$0.00
My gift is
In memory
In Honor
None
What inspired your gift today?
(Choose One)
Newsletter
Mail piece from UGM
Email from UGM
Radio
Website
Facebook
Other
Would you like to receive a printed receipt?
(Choose One)
Yes
No
Special note
*Checks can be mailed to PO Box 431, Salem, OR 97308
Billing Information
Name
*
I am representing an organization
Credit Card
*
Visa
Mastercard
American Express
Discover
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Address
*
----------------------
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
AA
AE
AP
Email
*
Submit
Fundraising Software by GivingFuel
