Glendale Healthy Kids - Glendale, CA


NEWS

Weight Loss Challenge: Losing it for the Kids!

Join GHK on Facebook!


UPCOMING EVENTS

April 17, 2010: For the Kids Health Fair

May 12, 2010: Taste of Downtown Glendale


MAKE A DONATION!

We now have a secure page for our sponsors and website visitors wishing to support Glendale Healthy Kids to make an online donation. Show your support by giving today! (MORE INFO.)



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To to receive email updates and our online newsletter please provide your email address below! Email: info@glendalehealthykids.org

Make a Donation

SECURE Online donation form

* required information

ENTER DONATION AND PAYMENT INFORMATION

I would like to make a one-time gift for the following amount:

Enter Donation Amount Here:* $

"I would like to make a payment towards purchasing tickets for the "Taste of Downtown Glendale" or "Guess Who is Comming to Dinner!" in the total amount of * $ as a one time charge to my account.

NOTE: The total amount entered above should equal the cost of each ticket multiplied by the quantity of tickets you wish to purchase with this payment. For example, if a Taste of Downtown ticket costs $25, and you wish to purchase 4 tickets, you need to enter $100 in the dollar amount box above.


DONOR INFORMATION
Title:
First Name:*
Middle Name:
Last Name:*
Suffix:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Country:*
Phone:
Email:*
	Do not email	Do not direct mail


CREDIT CARD INFORMATION
Cardholder's Name:*
Credit Card Number:*
CVV Number:*	Explain
Credit Card Type:*

Credit Card Expiration:*
Billing Address
	If the billing information is the same as the contact information check this box. If not please fill out the information below:
Address Line 1:*
Address Line 2:
City:*
State:
Province:
ZIP/Postal Code:*
Country:*

By clicking Submit button above, your credit card will be processed.

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