We appreiciate your support!
* Indicates required field Donor Information * Title: Mr. Mrs. Ms. Miss * First Name: M.I. * Last Name: Name(s) to be listed in annual report: * Address: * City: * State: * Zip: Phone: Email: Your Contribution Information * I would like to give: 25 100 250 other * Other Amount: (minimum of $5) I would like to make this a recurring donation: No Yes - Must Provide Phone # * Cardholder Phone: I have remembered Community Action of Minneapolis in my will: I want to leave a legacy to Community Action of Minneapolis : My Donation is a tribute: No Yes Please Complete the following if your gift is a tribute: * Tribute Type: -- select -- In honor of In memory of Who would you like to honor?
Please tell us about the person(s) you would like to honor. This information will appear on the acknowledgement. * Title: Mr. Mrs. Ms. Miss * Full Name(s): * Occasion: -- select -- Birthday Anniversary Bar/Bat Mitzvah Retirement Hanukkah Other * Other: Who would you like to remember?
Please tell us about the person(s) you would like to remember. This information will appear on the acknowledgement. * Title: Mr. Mrs. Ms. Miss * Full Name(s): * Address: * City: * State: * Zip: Your Payment Information * Card Type Visa Mastercard * Cardholder's Name: * Card Number: * Expiration Date: 01 02 03 04 05 06 07 08 09 10 11 12 2011 2012 2013 2014 2015 2016 2017 * Security Code: this is the 3 or 4 digit code on the back of your card
Please tell us about the person(s) you would like to honor. This information will appear on the acknowledgement. * Title: Mr. Mrs. Ms. Miss * Full Name(s): * Occasion: -- select -- Birthday Anniversary Bar/Bat Mitzvah Retirement Hanukkah Other * Other: Who would you like to remember?
Please tell us about the person(s) you would like to remember. This information will appear on the acknowledgement. * Title: Mr. Mrs. Ms. Miss * Full Name(s): * Address: * City: * State: * Zip: Your Payment Information * Card Type Visa Mastercard * Cardholder's Name: * Card Number: * Expiration Date: 01 02 03 04 05 06 07 08 09 10 11 12 2011 2012 2013 2014 2015 2016 2017 * Security Code: this is the 3 or 4 digit code on the back of your card