Donation Form

Welcome to the Think Diginity family!

Thank-you for your interest in out Fresh Start Showers manual. We request a donation for the manual of $25, but any amount over $5 will help to cover our costs.

NOTE: Due to the terms of our payment processor the minimum donation is $5.

Please fill in the form below, and then click the Next button to review donation.

Donation

Amount

$25 suggested donation amount

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 my full donation of $0.00 to go to Think Dignity so I will donate $0.00 to cover the Paypal 3% processing fee.No. I will donate $0.00 and Think Dignity will cover the processing fee.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

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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.