Your browser does not support JavaScript!
This form cannot automatically check that you have submitted all of the required fields without JavaScript.
Please be sure to submit all required fields (marked with stars).

FastHealth Logo

Woodlawn Foundation Logo

Woodlawn Foundation Donations

To make a donation, please complete the secure form below. All information will be kept confidential. Woodlawn Foundation is a non-profit 501(c)(3) organization, and donations are tax deductible.

Thank you for your generosity and support of the Woodlawn Foundation.

  In support of the Woodlawn Foundation, and understanding the need for making a gift, I/we gift the total sum of:
Please Specify How Much You Are Donating. Please Use Dollars and Cents.
* Name
As It Appears On Donor's Credit Card or Checking Account.
* Billing Address
Address Where Your Credit Card Statements Are Mailed.
* City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code.
* Your Email Address
Please Provide An E-mail Address.
  Payment Options My/Our gift is being paid by check
I/We wish to make a gift other than cash or credit card (such as stock)
I/We wish to make a gift with use of a credit card.
Pay by Check
  Checking Account Number
  Routing Number
Pay by Credit Card
* Credit Card Type
Select If You Are Paying By Credit Card.
* Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
* Credit Card Expiration Date
mm/yy
* CV3 Code
3-digit code located on the back of your credit card.
  Comments or Messages Related To Your Donation
For acknowledgement and subsequent listing of my/our gift as a contributor to the Woodlawn Foundation, please recognize our contribution as indicated below (please print clearly and limit to 45 characters, including spaces)
  Name
 
  Please gift: In Memory of
In Honor of
  In Memory of:
  In Honor of:
Please send acknowledgement of this gift to the following person. The amount of the gift will not be disclosed.
  Name
  Address
  City, State, Zip Code