Safe Kids Payment/Donation

Make a Payment/Donate to Safe Kids Grand Forks
Safe Kids Grand Forks operates almost entirely from grant funding and donations from individuals. This page can be used to make a donation or payment for a class or safety product.
Please select one of the following options*

Donation to Coalition (if in memory/honor of someone, click "Other" to add name)Hands on Learning Fair booth applicationBringing Home Baby car seat class registration ($5 per couple)Car Seat/Booster PaymentBike/Multisport Helmet PaymentLife Jacket PaymentCertified Car Seat Technician Course Local Fee ($30 per person)Other
Personal Information*

First NameLast Name
Phone Number*
Please enter a valid phone number.

Payment Amount*

USD

Credit/Debit Card

First Name

Last Name

Credit/Debit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Email*
example@example.com
A confirmation email will be sent from JotForm along with your receipt of payment from Altru Health Foundation.

Thank you!
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Make a Payment/Donate to Safe Kids Grand Forks