Sail Beyond Cancer Vermont Donation Form

Sail Beyond Cancer Vermont Donation Form

One-Time Donation
Help make a difference one Sail at a Time!

Your donation gives the special gift of time away from all of the stress and anxiety that cancer brings for both the patient and all those who love them, while enjoying the healing elements of wind, water and sail.
Campaign
Name*

First NameLast Name
Gender*
Is this a company donation?*

YesNo
Company Name
Company Website
Address (Company Address if it is a Company Donation)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account Name
Preferred Phone
Mobile Number*
Please enter a valid phone number.
Preferred Email*
Email*
example@example.com
Donor Country
Opportunity Name
Close Date

MonthDayYear
Primary Chapter Affiliation*
- $1000. - A gift to fund two 3 hour sails (6 people each time)
- $500. - A gift to fund one 3 hour sail (6 people)
- $250. - A gift to fund half of a 3 hour sail
- $100. - A gift to support one person to sail with us
Would you like to cover the donation processing fee? *

YesNo
Donation Amount*
Processing Fee
(Hit TAB to get Donation Amount Total if needed)
SF GAU Amount
GAU Allocation
Donation Amount Total
SF Opp Amount
Donation Amount Total*

prevnext( X )
USDDescription
Tribute Type
Honoree Full Name
Notification Message

0/32768
Notification Preference
Notification Recipient Full Name
Notification Recipient Email
example@example.com
Anonymous Donor*

TrueFalse
Notification Recipient Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Recipient Country
Donor Comment
Should be Empty: