Please fill out the form below to make an online credit card donation to the Wesley Enhanced Living Foundation.

Fields with an asterisk (*) are required in order to process your transaction. If you wish to pay by check, please complete our Mail-In Donation form and mail it in along with your check made payable to the Wesley Enhanced Living Foundation. To make a gift online in honor or memory of someone special, please use our Memorial/Honor Online Donation Form.

This gift is from:
An Individual A Corporation

If you selected "Individual":

Title:


* First Name:


Middle Initial:


* Last Name:


Suffix:



If you selected "Corporation":

* Corporation:


Contact Name:

If we have a question regarding this donation.


* Is this a joint donation?
Yes, With Spouse Yes, Other No, this is not a joint donation

If this is a joint donation, please identify the name(s) of joint donor(s):


E-mail Address:

(For immediate e-mail confirmation, please enter your e-mail address above.)

* Daytime Phone Number:


* Address 1:


Address 2:


* City:


* State:


* Zip Code:


Country:


* Address Type: Home Business


* Please Use My Gift At:

Where it is most needed
Evangelical Manor
Heritage Towers
Maple Village
Pilgrim Gardens


* Please Use My Gift For:

Where it is most needed
Benevolent Care
Community Enrichment
Innovation (Technology)
Capital Improvements
Endowment Funds
Other specific fund or program:




* I Would Like To Contribute:
$1000
$500
$250
$100
$50
Other ($20 minimum) - specify below
$.00
Note: Please enter numbers only. No comma or other special characters.

Please Inform Me If My Company (Or My Spouse's Company) Has A Matching Gift Program:

Company Name:

Company Name (Spouse):