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Online Donation Form
Contact Information:
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Verify Email
*
Phone Number
Donation Information:
Donation Amount:
*
$500
$250
$100
$75
$50
$35
$
Donation Frequency:
One Time
Monthly
Quarterly
Yearly
Is there anything specific you would like your donation to go towards?
select one
General Operating/Greatest Need
Alumni Fund
Campership Fund
Tribute Information (optional):
Would you like to make this gift in honor or memory of someone?
No, thank you.
In Honor of
In Memory of
Please share the full name of the individual being honored. If you would like someone to be notified of this gift, please share their name and address.
If you include a complete address, we will mail out a letter to your chosen acknowledgement recipient within 2 weeks.
Subscribe to receive CHMK emails?
*
Yes
No
Yes, I would like to cover the 3% processing fee so my full gift goes to CHMK.
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