Donation Form

Give a Financial Gift to Wishes & More!

Your donations will help Wishes & More® provide extraordinary wish experiences and more for local families with kids battling harsh medical conditions.

How much would you like to donate? As a contributor to Wishes & More® we make sure your donation goes directly to supporting local kids and families!

$ Donation Amount:

Make this donation every

Who's giving today?

Wishes & More will never share this information with anyone.

Personal Info

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Phone Number

Mailing Address

City

State

Zip

Dedicate this Donation

Yes, please
No, thank you

Dedication Type

In honor of
In memory of
Celebrating

Honoree(s) Details

First Name *

Last Name

Would you like us to notify anyone of your donation?

Yes, mail a card
Yes, send an eCard
No thanks

Notification Details

First Name *

Last Name

Email Address *

Notification Details

First Name *

Last Name *

Country *

Address Line 1 *

Address Line 2

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State *

Zip/Postal Code *

Select Payment Method

Donate with Offline Donation
Donate with Stripe - Credit Card

Credit Card Info

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Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

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Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $10 One Time