One moment please...
PBF PARTNERS SOCIETY
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
PBF Partners: Society
Choose the PBF Partners Society Giving Tier membership that works best for you. You can always upgrade Giving Tiers at any time during your membership.
PBF Partners Society Giving Tiers
Select the PBF Partners Society Giving Tier you are enrolling in for the year.
PBF Polar Bear: $2,400.00+
PBF Purple: $1,200.00 to $2,300.00
PBF White: $500.00 to $1,100.00
PBF Member: $200.00 to $499.00
Enter the amount you are contributing. Be sure the amount is within the range of the selected Giving Tier. Select if you want the contribution to be one time, monthly, or yearly.
*
$
Donation Schedule
One Time
Monthly
Yearly
Continue donating until
(mm/dd/yyyy)
How did you hear about the Polar Bear Foundation?
Choose all that apply.
Dillsburg Banner
Email
Facebook
Friend/Word of Mouth
Instagram
Postcard
X (Formerly Twitter)
Add 3% to my total amount to help cover the payment processing fees