United Way of Greater High Point

PLEASE NOTE:
This site is for contributions to "FANS FOR SENIORS" only.

Thank you for making a donation to help our seniors stay cool this summer.

If you need assistance with making this donation, please contact Ellen Amick at 336-899-0884.

Credit Card

Credit Card Payment

Donation Amount:

$25.00

$50.00

$100.00

Other

$

Bill Me Payment

Donation Amount:

Billing Start Date:

Billing Frequency:

Annually

Semi-Annually

Quarterly

Monthly

Securities Payment

Donation Amount:

Reminder Start Date:

Reminder Frequency:

Annually

Semi-Annually

Quarterly

Monthly

Donation Amount:

$

Payment Start Date:

Jan 01, 2025

Payment Frequency:

Donation Amount:

$

Donation Amount:

$

Payment Start Date:

Jan 01, 2025

Payment Frequency:

Donation Amount:

Card Type:

Visa

MasterCard

American Express

Discover Card

Card Number:

Expiry Date:

Name On Card:

Bank Transit ABA Number:

Bank Account:

Bank Account Name:

Bank Account Type:

Send me an e-mail confirmation of this donation

* Main Email

Name

Prefix:

*

First:

Middle:

*

Last:

Suffix:

* Main Address

*

Address Line 1:

Address Line 2:

Address Line 3:

Address Line 4:

* City:

*

State:

*

ZIP/Postal Code:

*

Country:

Home Phone

Area:

Number:

Extension:

Items marked with an asterisk (*) are required

Dr.,Miss,Mr.,Mrs.,Ms.,Rev.,1st,2nd,AB,Ald.,Alderman,Ambassador,Archbishop,Attorney,Atty.,Bishop,Brig.,Brigadier,Brother,Cadet,Cannon,Canon,Cantor,Capt,Capt.,Captain,Cardinal,Cdr.,Chancellor,Chaplain,Chief,Cmdr.,Coach,Col.,Colonel,Commander,Commissioner,Commodore,Cong.,Congressman,Congresswoman,Const.,Constable,Corporal,Councillor,Cpl.,Cpt.,Cst.,Deacon,Deaconess,Dean,Deputy,Detective,Dt.,Elder,ENI,ENS,Envoy,Excellency,Father,Gen.,General,Gov.,Governor,Grand,Her,His,Hon.,Honorable,Honorary,Honour,Honourable,Insp.,Inspector,Judge,Justice,Lady,Leading,Lieut.,Lieutenant,Lt.,Maj.,Major,Marshal,Master,Mayor,Member,Minister,Monsignor,Most,Msgr.,Msr.,Mt.,Officer,Pastor,Petty,PhD,PO,Premier,Private,Prof.,Professor,Public,R.,Rabbi,Rep.,Representative,Rev,Rev'd,Reverend,Right,Rt.,Saint,Sapper,Seaman,Second,Sen.,Senator,Sergeant,Servant,Sgt.,Sheriff,Sir,Sister,Sr.,Staff,Superintendant,Supt.,The,Trooper,Very,Vice-Admiral,Warrant,

DDS,I,II,III,IV,Junior,MD,PhD,Senior,A.O.E.,B.A.,B.Comm.,B.E.S.,B.Ed.,B.F.A.,B.S.A.,B.S.W.,B.Sc.,C.A.,C.D.T.,C.E.T.,C.F.A.,C.F.P.,C.F.R.E.,C.G.A,C.G.A.,C.I.M.,C.I.R.P.,C.M.,C.M.A.,C.N.A.,C.P.A.,C.P.M.,C.S.R.,D.,D.C.,D.D.S.,D.M.D.,D.P.M.,D.V.M.,Ed.D.,Esq.,F.C.A.,F.C.A.I.,F.I.C.B.,F.R.C.P.C.,F.S.A.,LL.B.,LL.D.,M.A.,M.B.A.,M.C.P.,M.D.,M.Eng.,M.L.A.,M.S.,M.S.W.,M.Sc.,Min.,O.C.,O.D.,O.M.,O.M.I.,P.A.G.,P.C.,P.E.,P.Eng.,P.Geo.,Ph.D.,Q.C.,R.N.,Ret.,S.C.J.,ScD,V,V.F.,VI,

Unknown,Female,Male,Non-binary,

He/His/His,She/Her/Hers,

If you are making a Credit Card Pledge, please provide us with your three digit CVV#:

Verification code

Enter code

Confirmation page may take a few moments to display. Please click Confirm only once. Thank you.

Confirm
Clear Form

Powered by Andar Software

Session Timeout

Session will timeout in