First Name: Last Name: Address: City: State: Zip Code: Phone: E-mail: Donation Amount: $54 $100 $180 $250 $360 $500 $1,000 $1,800 Other amount Method of Payment: Credit Card I will mail a check Please call me Frequency: I would like this to be a monthly donation One time Other If using a credit card: Cardholder Name: Credit Card Type: Visa Master Card American Express Discover Credit Card Number: CID# Expiration Date: Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2023 2024 2025 2026 2026 2027 2028 2029 To make your contribution in memory of someone, or in their honor, fill in the information below. He or she (or, in the case of an in memoriam contribution, the recipient you specify) will be notified of your thoughtfulness and generosity. The Friendship Circle is funded through donations from corporations, private foundations, individuals and nominal program fees. The Friendship Circle is nonsectarian and nondenominational. We rely on the support of the community to help make a difference in the lives of teens, special needs children and the entire community. All donations are tax deductible to the extent allowed by the law. The Friendship Circle Tax Identification Number is 42-1607378 The Friendship Circle respects the privacy of our donors. We do not sell, share or trade our donors personal or contact information. This page uses 128 bit SSL encryption to keep your data secure.