Donation Form

The ability for all women to receive healthcare during and after pregnancy is critical to their overall health, which makes home monitoring of blood pressure important to a healthy pregnancy experience. Through your donation, you can help us distribute home blood pressure monitors and patient education information to women who are at risk for preeclampsia through their providers and create the body of evidence necessary to make sure blood pressure cuffs are universally prescribed in every pregnancy, universally available, and universally covered by public and private insurance.

Donation Information

Amount

$75 to help us give home blood pressure monitors and patient education information to women

Type of Donation

One Time DonationRecurring Donation

I would like to dedicate this donation

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Preeclampsia Foundation and I will donate $0.00.No. I will donate $0.00 and Preeclampsia Foundation will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment. Visitors can email [email protected] to review or update personal information.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

The Preeclampsia Foundation is committed to transparency, the highest standards of financial accountability and appropriate stewardship of our resources. We are a 501(c)(3) not-for-profit organization incorporated in 2000, and are accredited by GuideStar. Our Tax ID Number is 91-2073087. Address is 3840 W. Eau Gallie Blvd, #104, Melbourne, FL 32934.

Funds received by the Preeclampsia Foundation are carefully monitored to ensure their use complies with donor intent. An annual audit of our finances is conducted by an independent certified public accounting firm, overseen by the Preeclampsia Foundation Board of Directors. Board and organization assessments are conducted by an outside party with expertise in board governance and evaluation every two years. A portion of the third-party fundraising events benefit the Preeclampsia Foundation.

Donation Refund Policy

If you have made an error in making your donation or change your mind about contributing to the Preeclampsia Foundation, we will honor your request for a refund made within 15 days of your donation. Refunds are returned using the original method of payment. If you made your donation by credit card, your refund will be credited to that same credit card. Donors have the option to give recurring donations. The Foundation will be able to refund the previous month's donation only.

To request a refund, or to stop/change recurring giving, call (321) 421-6957 or email us at [email protected].

Overpayment or Error Refund Policy

Where an error has been made by the Foundation or a banking facility which results in an overpayment being made, the Foundation may, in consultation with the donor, refund by either a credit of the overpayment to the donor, or alternatively by check for the full amount of the overpayment. Checks will be sent within 30 days to the donor’s address on file.