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If you experience any issues with our online donation page, please contact karen.gibbs@northerncincinnati.foundation or call 513-682-8061. We are happy to help!

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First Name*: First Name*:

Last Name*: Last Name*:

Street Address*: Street Address*:

City*: City*:

State*:

Zip*: Zip*:

Email*: Email*

Phone*: Phone*

Gift Designation* Gift Designation*: Radio Button Unrestricted Fund Radio Button Specified Fund

Fund: Fund:

Don't know the name of the fund you want to contribute to? Click Here for a list of current funds. If you do not choose a specific fund or any type of fund, your donation will be applied to the Unrestricted Fund.

We Would Like To Make A Gift (Please choose only one)* We Would Like To Make A Gift (Please choose only one)*: Radio Button Standard Donation Radio Button In Memory Of Radio Button In Honor Of

In Memory Of*: In Memory Of*:

In Honor Of*: In Honor Of*:

Please notify the following of this gift

Full name: Full name:

Business Name: Business Name:

Street Address: Street Address:

City: City:

Current State:

Zip: Zip:

Gift Details

Donation Amount*: $ Donation Amount*

Donation Frequency* Donation Frequency*: Radio Button one-time Radio Button monthly Radio Button quarterly Radio Button annually

If you have special notes or you would like to give a gift in honor or memory of someone, please provide the information here:

Special Notes: Special Notes

Payment Information

Billing address matches contact address?* Billing address matches contact address?*: Radio Button yes Radio Button no

Billing First Name*: Billing First Name*:

Billing Last Name*: Billing Last Name*:

Billing Address*: Billing Address*:

Billing City*: Billing City*:

Billing State*:

Billing Zip*: Billing Zip*:

Card Information

credit card number: credit card number*

expiration date*:

security code: security code*

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