William C. Friday Fellowship for Human Relations

Donations - Secure Online Donation Form

Checks made out to Wildacres Leadership Initiative can be mailed to:

9121 Anson Way, Suite 200 Raleigh, NC 27615

After you complete the online form below, you will receive an email notification that we received your submission. As soon as payment has been processed, you will receive another notification which you may use for your tax records.
WE LOVE MATCHING GIFTS! For the paperwork, our tax ID #: 23-7148151
Financial information about this organization and a copy of its license are available from the Charitable Solicitation Licensing Section at 888 830 4989. The license is not an endorsement by the State.

Campaign/Fund Information
Campaign/Fund *	Board of Advisors Gifts or Select a Different Fund

Donation Information
Donation Amount *	$
Payment Method *	Check/Money Order Pledge ACH/E-Check (US banks only) Credit Card
Donation Type *	One-Time Donation Recurring Monthly Donation (until cancelled) Split this Donation into Monthly Payments
Number of Payments *
Donor Comments

Donor Information

First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
Location	(Reset)
Postal Code*
Phone *

Billing Information
[ Click here if billing address is the same as donor address ]
Name on Card *
Card Type *
Card Number *
Card CVV Num *	What is this?
Exp. Date *	/
Account Type *
Account Number *	(confirm)
Bank Code *	(Routing Number)
Organization
Address *
Address Cont.
City/Town *
Country *
Location	(Reset)
Postal Code*
Billing Phone *

The Cardholder stated above has authorized this payment. If this payment is part of a recurring series of payments, the Cardholder understands the terms and amounts of those recurring payments, and authorizes payment for each of them. Cardholder consent will expire once all scheduled recurring payments have been processed, or if all future recurrences are cancelled. The Cardholder acknowledges that specific payment dates may vary. Examples include, but are not limited to: payment dates falling during weekends, holidays, or during system outages. In order to facilitate the processing of those recurring payments, stored credentials will be used. Those stored credentials will only be used to process payments that are part of this series of recurrences. In order to use those stored credentials for any other payment, Cardholder re-authorization will be required. In the event that a consent agreement must be modified, the new agreement will be sent to the email address associated with the invoice.

The Cardholder understands the terms and authorizes the payment(s).

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