Luminary Donation Form

Support Our Cause

Help our organization by donating today! All donations go directly to making a difference for our cause.

Each luminary donation is $10. Choose the amount that corresponds with the number of luminaries you wish to purchase. For example, if you choose $30, you can dedicate three luminaries. You can also set a custom amount to donate to the overall campaign.

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

What name would you like to display on the luminary (If more than one, please separate with commas)

Luminary Display Names

Enter Personal Information

Dedicated by:

Personal Info

First Name *

Last Name *

Email Address *

Select Payment Method

Donate with Stripe - Credit Card
Donate with Offline Donation

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Here's what you're about to purchase:

Donation Summary
Payment Amount
Giving Frequency	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $10