Support Arts and Education

Support Type *

Select...IndividualCorporateFoundationSchool or Alumni

Your Donation *

The Believers   The Advocates   The Heroes   The Champions   The Benefactors   Select Your Own Amount:

Planned Giving

MM / DD / YYYY Please indicate when you would like for us to process your generous contribution.

Reuccuring Donations *

One-Time   Monthly   Quarterly   Semi-Annually   Annually

In Memory Of...

If your donation is "In Memory Of" or dedicated to anyone, please write that person(s) name here.

Where would you prefer your contribution go towards?

Select...Keep Arts AliveThe Possible MeThe Reading CornerAnnual FundThe Emerging Teen Artists

Contact Information Please answer all questions.

Name *

Prefix

First *

Last *

Suffix

HM Number *

### - ### - #### Home Phone

WK Number

### - ### - #### Business Phone

MB Number

### - ### - #### Mobile Phone

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Email *

Confirm *

Subscribe to Newsletter *

Yes   No

Company

Corporation, Foundation, School, Alumi, and Organizations.

Would you like your name to be published or kept anonymous? *

Published   Anonymous

Would you like to attend our Annual Gala Charity Event?

Yes   No  We will notify you in advance and send you an invitation.

Billing Contact Information If your contact information is the same as your billing information you may skip this section.

Cardholder Name

Prefix

First

Last

Suffix

Billing Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Credit Card Number *

Card Type *

Select...VisaMasterCardAmerican ExpressDiscoverOther

Expiration Date *

Card Security Code *

This code will have 3 or 4 digits and will be in a different location depending on the card type. Typically located on the back of your card.

Payment Agreement: Do you agree to have We Care Academy For Youth Development, Inc charge your card for the amount specified above and all of the information submitted is correct? If you have any questions or concerns please contact us by email. *

Yes   No

Today's Date *

MM / DD / YYYY

Comments, Questions, or Concerns.