Gift & Payment Information

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Please give today.

Your gift can help us meet the continually changing needs of our Eastland Care Center residents and community members. Your gifts stay at our facilities and all gifts are used to purchase items to enhance the quality of life of our residents.

Click here to donate via phone or mail.

We are an efficiently-run organization, with over 90 cents of every dollar going directly to program services.

Choose Amount & Gift Designation

Select Gift Amount: Required

$25.00

$50.00

$100.00

$250.00

$500.00

Other Amount Enter amount.

Gift type: Required Required

	One-time gift
	Recurring gift

Select a Gift Duration: Choose one of these options for your recurring gift payments.

Total Gift: Use the Calculate button to view the total amount of all gift payments for your donation.

Is this an Honor or Memorial Gift?

Check this option to make this gift in honor or in memory of a loved one, and then enter the appropriate information in the fields that display.

Yes, this is an honor or memorial gift

Honor Gift Type: Choose the memorial gift only if the person you are honoring is deceased.

Honoree Name:

Send E-card?

Yes, I would like to send an eCard.

Select month of credit card Send eCard on: Select the date that this card should be sent. Select Expiration Year

Recipient email addresses: An eCard will be sent to these recipients. Separate multiple addresses with a comma or a new line.

Select an eCard: Select one of the available eCards to send.

Copy of Elderly Father and Daughter eCard

eCard Subject: The eCard subject line will be displayed in the recipient's email inbox.

eCard Message: This message will appear on the eCard.

Select this button to preview your eCard.

Billing Information

Title:

First Name: Required A first name is required.

Middle Name:

Last Name: Required A last name is required.

Suffix:

Street 1: Required A street address is required.

Street 2:

City: Required A city is required.

State/Province: Required A state or province is required.

ZIP/Postal Code: Required A zip or postal code is required.

Country:

Email Address: Required An email address is required.

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Yes, I would like to receive communications from this organization.

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Payment Information

Select a Payment Type: Required A payment type selection is required.

Credit Card Type:

Visa

Discover

American Express

MasterCard

Credit Card Number: Required Credit card number is required.

CVV Number: Required CVV number is required.

What is this?

Select month of credit card Expiration Date: Required Select Expiration Year

Bank Routing Number: Required Bank routing number is required.

What is this?

Bank Account Number: Required Bank account number is required.

Verify Bank Account Number: Required Bank account number is required.

Account Type: Required Required

	Checking
	Savings

Required Bank account withdrawal confirmation is required.

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

Please give today.

Choose Amount & Gift Designation

Is this an Honor or Memorial Gift?

Send E-card?

Billing Information

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Please give today.

Choose Amount & Gift Designation

Is this an Honor or Memorial Gift?

Send E-card?

Billing Information

Payment Information

Seeking Services?

Welcome

Inside This Section

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