ACA's Annual Fund - Recurring Gift

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We appreciate your generosity and support of a monthly donation!

Monthly Recurring Gift Amount $

Ensure that 100% of your gift supports our mission by adding 3% to cover credit card fees.

Yes, I would like to add 3%

Is this donation from you or on behalf of your camp or company?*

From me - individually From me - with my spouse/partner On behalf of my camp or company

Donor Name*

First Name*

Last Name*

Donor names (how would you like to be acknowledged)*

Examples: Jane and John Doe -or- The Doe Family

Camp or company name*

Camp/Company Contact*

First Name*

Last Name*

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Gift plus 3%

Total Monthly Donation

How would you like to pay?*

Credit Card ACH (eCheck)

Bank Account Type*

Checking Savings

Routing Number*

9-digit number on the bottom of a check that identifies your bank - shows first

Account Number*

Number that shows AFTER the routing number on the bottom of a check

Name on Account*

Bank Name*

Credit Card*

Is this donation in honor of or in memory of someone else?*

Yes No

Donation made in honor of or in memory of someone

Dedicate your donation*

In honor of someone In memory of someone

Name of person being honored or remembered*

First Name*

Last Name*

Please notify the following individual of my tribute

First Name

Last Name

Send notification to this address

Address Line 1

Address Line 2

City

State

ZIP Code

Message (optional)

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