Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Member Number
*
Donation Amount
*
Account for withdrawal
*
Please Select
Checking
Savings
By checking this box, I agree to donate the amount listed above to Solano Midnight Sun Foundation. I am allowing a one-time withdrawal from the account of my choosing for the amount I listed above. All tax or donation reporting will be my responsibility and not the responsibility of Befit FFCU
Signature
Submit
Should be Empty: