Name: Donation
SKU: DNT01
Availability: InStock

Donor and Billing Information

First name: *

Last name: *

Company (This donation is on behalf of a company): (optional)

Home phone: *

Mobile phone: (optional)

Email address: *

Country: *

Address 1: *

City: *

State: *

ZIP Code: *

Summary Of Your Donation

I’d like to donate the 5% processing fee so that 100% of my gift goes to saving lives of children with cancer through the Center for Oncology in Pediatrics Foundation. (optional)

Gift Quantity	Total
Gift Subtotal	$0.00
Donation Total	$0.00

Payment Options

Donate by Credit Card:
- Use a new payment method
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Expiry (MM/YY) *
Card code *
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Donate using PayPal What is PayPal?
After providing your information and place order, you will be asked to log into Pay Pal.
Donate by Check – ACH:
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By entering my account number below and clicking Place Order, I authorize my payment to be processed as an electronic funds transfer or draft drawn from my account. If my full order is not available at the same time, I authorize partial debits to my account, not to exceed the total authorized amount. The partial debits will take place upon each shipment of partial goods for amounts corresponding to the value of each shipment. If any of my payments are returned unpaid, I authorize you or your service provider to collect the payment and my state’s return item fee for each payment by electronic fund transfer(s) or draft(s) drawn from my account. Click here to view your state’s returned item fee and other costs associated with the transaction. If this payment is from a corporate account, I make these authorizations as an authorized corporate representative and agree that the entity will be bound by the NACHA operating rules. This authorization shall remain in full force and effect until revoked. Any payment authorized for today’s date will initiate at end-of-business, Central Time. I understand that for orders shipped in full, my account will be debited within 1-2 banking days from this Authorization. In the event payments are authorized for initiation at a future date, those payments may be revoked by providing written notice to this merchant at the contact information found on this merchant's website and providing the merchant reasonable opportunity to act upon it.
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Routing Number *
Account Number *
Check Number *
Check Type *
ID Type *
ID Number *
Donate by Phone:
To make a gift by phone, call the Center for Oncology in Pediatrics Foundation at: 619-489-1427 or 866-928-7831 where we will gladly receive your gift and send you a Tax-Deductible receipt.
Donate by Direct Bank Transfer:
Make your payment directly into our bank account.
Donate by Mail:
Proceed to send your Donation via the United States Postal Service.

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Thank you for your support! 100% of proceeds will go directly to childhood cancer treatment. In compliance with IRS Rules & Regulations, all donations to Center for Oncology in Pediatrics Foundation are tax-deductible. IRS Tax ID# 26-2782755.

COP – Center for Oncology in Pediatrics Foundation

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Donation

Gift Information

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Donor and Billing Information

Summary Of Your Donation

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