Silent Donor International -- Credit/Debit Card Donation Form

Silent Donor International -- Credit/Debit Card Donation Form

Welcome to Silent Donor. This is an encrypted and data-protected form. If you'd like to donate via bank transfer or other means, click "Donate Now" in our site menu at the top of this page. Please note that your anonymous donation receipt will come from the secure fund we created, Silent Donor International.
Name*

First NameLast Name
E-mail*
Full Name of the Organization to Receive Your Donation*
Feel free to write as much detail here as you'd like! You can paste web links, and please be as specific as possible. You can identify specific areas of focus or specific regions within an organization. Examples: UNICEF in Sudan, Rijksmuseum, or University of __ Scholarship Fund. (CANNOT send political donations in countries where it is forbidden, especially including the USA)
Amount You Would Like to Donate (minimum €45)*
Would you like your donation to cover third-party credit card processing fees?*

YesNo
Your Address

Street Address

Street Address Line 2

CityState

Postal/Zip CodeCountry
[Optional] Check this box if you would like this to be a monthly recurring donation:

Yes
Please agree to the below:*

I agree to Silent Donor's Terms of Service and Silent Donor International's Terms of Use.
Total Donation Amount

Donation Total:*

EURDescription

[Please enter your postal zip code where it displays '12345' above]
(Optional) Additional Comments:
Dedicate this donation to someone, or add other comments
Please verify that you are human*
Should be Empty: