PLEASE NOTE - THIS SITE IS FOR UWGHP HONOR CARDS ONLY.
Thank you for choosing a gift to celebrate and honor your loved one. To make your Honor Card donation, please complete the information below.
Your Honor Card(s) will be mailed to you.
If you need assistance, please contact Ellen Amick at 336-899-0884.
Credit Card
Credit Card Payment
Designation Amount:
Bill Me Payment
Billing Start Date:
Billing Frequency:
Securities Payment
Reminder Start Date:
Reminder Frequency:
Card Type:
Card Number:
Name On Card:
Bank Transit ABA Number:
Bank Account:
Bank Account Name:
Bank Account Type:
Name
Prefix:
First:
Middle:
Last:
Suffix:
Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:
State:
ZIP/Postal Code:
Country:
Area:
Number:
Extension:
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