Donor Information

Impact Partner Change Form

* Required Fields

Contact Information
* First Name	*Required
* Last Name	*Required
Company Name
* Address	*Required
Address 2
* City	*Required
* State/Province	*Required
* Zip/Postal Code	*Required
Cell Phone
* Email	*Required

Changes to Impact Partner Gift
I would like to cancel my monthly gift
I would like to change the amount of my monthly gift
Change my monthly gift to
You will receive an email confirmation within 3 business days that your cancellation or change has been successfully made.

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.