Amount

*

$100

$50

$25

$10

$5

$

Your account will be debited:

**Your first monthly contribution will be made when this form is submitted. If you would like to schedule future donations on a specific date each month, please let us know in the comment field at the end of this form, or email donors@activategood.org.**

Activate Good is a 501(c)(3) charitable organization. Accordingly, donations are tax-deductible to the fullest extent allowed by law. Our federal Tax ID is 20-3057526. Financial information about Activate Good and a copy of our license is available from the State of North Carolina's Solicitation Licensing Branch at 1-888-830-4989. The charitable solicitation license is not an endorsement by the State.

Contact Information

This donation is being made by an...

*

Individual

Organization or Business

Organization or Business Name

Name

*

First Name

Last Name

tomborder

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

My employer will match this gift:

*

Yes

No

Employer

Is this a tribute or matching gift?

*

You will be able to select who this gift is in honor of, in memory of, or matching in the next step.

No

Yes, an honorary gift

Yes, a memorial gift

Yes, a matching gift

Yes, this gift is part of our Youth Givers Program (type your child's name below!)

In whose name is this gift given?

First Name

Last Name

May we notify the honoree of your gift?

Yes

No

Honoree's Email Address

*Please only provide the email address of honorees under the age of 18 with parental or guardian consent

Verify Email

Honoree's Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

A message from you to the honoree (optional):

May we notify a family member or friend of your memorial gift?

Yes

No

Family Member or Friend to be notified of your memorial gift:

First Name

Last Name

Family Member's or Friend's Email Address:

Verify Email

Family Member's or Friend's Mailing Address:

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

A message from you to the family member or friend (optional):

May we notify the donor of your matching gift?

Yes

No

Email of donor you are matching:

Verify Email

Mailing Address of Matching Donor:

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

A message from you to the donor you are matching (optional):

May we acknowledge the youth in whose name this gift is given?

Our Youth Givers Program will address any thank you notes or communications to indicated youth as part of our effort to include young people in acts of giving.

Yes

No

Youth's Email Address:

Verify Email

Youth's Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

A message from you to the youth in whose name you are giving (optional):

Did someone refer you to us? If so, who? Anything else you'd like us to know?

Need to make changes to your recurring donation?

We can help with that! Please contact our team at donors@activategood.org for assistance.