Sep 9

Support the Work Activity Center

Donations are vital to our mission. They help provide us with the means to offer specialized programming for our clients. The Work Activity Center is a federal nonprofit and all donations are fully tax deductible. Thank you for your financial support of the Work Activity Center.

 

( * = required field )
First Name:
Last Name:  *  
Organization:  *  
Address:  *  
Address 2:
City:  *  
State:  *  
Zip Code:  *  
Country:  *  
Phone:  *  
Email:  *  
Confirm Email:  *  
Amount ($):  *  
ADDITIONAL INFORMATION
Donation in Honor or Memory?:
Name:
Comments:
PAYMENT INFORMATION
Please select the credit card type:
Credit Card Type:  *  



Credit Card Number:  *  
(xxxxyyyyzzzzaaaa) no spaces or dashes
Expiration Date:  *     (mm/yy)
Card CVV Code:  *   (3 or 4 digit code)