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Care-a-thon Donation

Padlock Secure Donations

You will advance to Calvary 88.5's secure site after submitting this form. This secure site is provided for the credit card portion of your donation. We receive your information when the transaction is successful.

Use this form to make a payment on your Careathon pledge.

Your Information

Required fields appear in red

Salutation
Your Name (First & Last)
Spouse's Name
Address
City, State, ZIP
Move in the last year?
If yes, old address?
E-mail
Phone  daytime
 evening
 mobile
Gender
First time donation?
Donation Purpose
Monthly pledges must be submitted each month through this online form.
Donation Amount
If you are making a pledge only enter the amount you are donating each month.
Matching gift?
Matching Corporation
Calvary 88.5 KLJC is a non profit, 501(c)3 organization. Please contact your Human Resources Department to see if they will provide matching gifts.
Include a note
200 character limit