Kim Gales Impact Giving

$3,210 of $3,000 pledged

$ Donation Amount:

Make this donation every

Dedicate this Donation

Yes, please
No, thank you

Dedication Type

In honor of

Honoree Details

First Name *

Last Name *

Select Payment Method

Credit Card
Offline Donation

Personal Info

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Comment

Phone Number:

Country

Street Address

City, State, Zip Code

Create an account

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $50.00 One Time