Donate Online

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 your donation in honor of, or in memory of, another person (PLEASE PROVIDE DETAILS AT THE BOTTOM OF THIS FORM).
* required information
Please provide all details
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
Name of Participant to Credit Donation:*
This is a:*
Gift Note:
First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Company Name:
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Email:*
Business Phone:
Cell Phone:
Alternate Phone:
Payment Information
Note: If you select PayPal, you will need to click Submit at the bottom of this form before being taken to a separate page to enter your account information and to process your payment.
Payment Method
:*
:*
:*   Explain
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:
:*
:
:*
State:
:
:*
Country:*
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.

Check with your employer (or your spouse’s employer) or visit this online directory of matching gift companies to find out if your company will match your contribution to Big Brothers Big Sisters.

If your employer uses a Matching Gift form, please complete the form and return it to:

Big Brothers Big Sisters of Cedar Rapids & East Central Iowa
3150 E Avenue NW, Suite 103
Cedar Rapids, IA 52405

Will this donation be potentially matched?
If you know the following information regarding the matching gift, please complete.
Company Name:
Matching Gift Amount:$
Send an Acknowledgment
When you make a gift in honor or in memory of a loved one, we will send the honoree or the family of the memorialized person a special card notifying them of your gift. Please indicate below the name of the honoree (or memorialized person) as well as the name and address to whom the tribute notification card should be mailed.
In Honor of:
In Memory of:
Notify Name:
Notify Address1:
Notify Address2:
Notify City:
Notify State:
Notify Zip:
Special Instructions:
Type the characters you see in the picture below:*
By clicking Submit,
your credit card will be processed

© 2011 Big Brothers Big Sisters of Cedar Rapids & East Central Iowa, 3150 E Avenue NW, Suite 103, Cedar Rapids, IA 52405, 319-377-8993

Big Brothers Big Sisters
, the Big Brothers Big Sisters logo, and Start Something are service marks of Big Brothers
Big Sisters of America, Inc. (BBBSA) and are used under a license from BBBSA. All rights reserved.