Donations

Your Information:

Name:
Street Address:
City:
State:
Zip Code:
Home Phone:
Home Email:

How much would you like to sponsor?
(note: $30 sponsors 1 child)
$ (#'s only)

Please charge my credit card monthly.

Donation Made in the Honor of...(Card will be mailed)

Name
Address
City
State:
Zip
Birthday
Any other information, or message on donation card:

There are 2 ways you can make a donation to Birthday Blessing. You may either submit this form indicating that you will be sending a check or you may submit this form and transfer your payment through PayPal. We have integrated our site with PayPal to make the process of transferring funds via credit card very easy. Please select a method below and payment instructions will appear upon submission of this form.

I will send my donation to Birthday Blessing, Inc. by mail

I will make my donation through PayPal
 
 


 
Birthday Blessing, Inc. | 43546 Firestone Place | Leesburg, VA 20176 | 703.481.8180 | 703.779.1309 fax
Email: info@birthdayblessing.org
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