Donor Information

Friends House Retirement Community, Inc.

presents our first

Walk and Roll

May 15, 2021

The fun starts at 10:00am

* Required Fields

Contact Information
Yes Walk or Roll
* First Name	*Required
* Last Name	*Required
Company Name
* Address	*Required
Address 2
* City	*Required
* State/Province	*Required
* Zip/Postal Code	*Required
Home Phone
* Cell Phone	*Required
Work Phone
* Email	*Required

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.

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.