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You’ve selected Honor/Memorial Gift. This gift in honor or memory of someone special can help change the life of another someone special: a child in need of a role model and a brighter outlook on life.

If you’d like to select a different way to donate, please visit Donation Options.

Make a gift in memory of or in tribute to another person.
* required information
Invest in inspiration...Please make a donation below
Select Gift Frequency
I would like to make a one-time gift for the following amount:
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I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: Each payment, including the first payment, will be made on day 1 of the month based on the payment frequency you have indicated.
Donor Information
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Email:*
Payment Information
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Credit Card Type:*
                  
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
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Matching Gift Information
Many employers match donations to charitable organizations for their employees, retirees and family members. Employer matching gifts can double or even triple your donation to Big Brothers Big Sisters. To initiate a matching gift, check with the personnel or human resources department at your and/or your spouse’s employer. If the employer uses a Matching Gift form, please complete and send it to:
BBBS Independence Region
123 S. Broad Street, Suite 1050
Philadelphia, PA 19109
Will this donation be potentially matched?
If you know the following information regarding the matching gift, please complete.
Company Name:
Matching Gift Amount:$
Additional Information
In Honor of:
In Memory of:
Notify Name:
Notify Address1:
Notify Address2:
Notify City:
Notify State:
Notify Zip:
Special Instructions:
By clicking Submit,
your credit card will be processed
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© 2010 Big Brothers Big Sisters Independence Region, 123 S. Broad Street, Suite 1050, Philadelphia, PA 19109