Print |

Online Contribution

When you support Gift of Life and its mission, you give hope to countless children and adults in desperate need of life-saving transplants by helping to grow our donor registry and cord blood bank.

Donate via: Use Credit Card Use PayPal

Mailing Address
First Name:
Last Name:
E-mail:
Address:
Address (cont.):
City:
State:
Province:
Zip Code:
Country:
Telephone:
Billing address differs from mailing address

Allocation

Fund Allocation:
YPC Team Page:
Team Page:
Donor Circle:
Amount (USD):
Other Amount:	$
Please keep my donation anonymous.
Remaining Credit:	(You need to be logged in to use donor credits)
Total Donation:	$0.00

Payment Information

Amount (USD):	$ Transactions will be processed in US Funds
Credit Card:
Card Holder*:
* Name exactly as it appears on the card
Card Number:
Card Verification Number:
	For most cards the verification number is number found on the back of the card on the signature panel.
Expiration Date:
I would like to make an annual gift. Please contact me to facilitate this process.
My employer has (may have) a matching gifts program. Please contact me.
Comments:	If this card is in honor / memory of an individual(s), provide occassion, name and address for acknowledgement

Statistically, one in 1,000 of the donors in the registry save a life each year!
Donors typically remain in the registry for an average of 30 years, and it costs $54 to enroll each donor - therefore, every $1,800 saves a life!
Gift of Life has searched for over 25,000 patients and made over 5,000 matches since the year 2000!
To give by mail, click here, or to speak with a Gift of Life representative, please call 1-800-962-7769.

Copyright 2009 Gift of Life. All rights reserved.

Website Design by Blue Fountain Media