Glen Cove C.A.R.E.S., Inc. | P.O. Box 423 | Glen Cove, New York 11542 | (516) 759-0887 | info@glencovecares.org
Copyright © 2009 Glen Cove CARES, Inc. All Rights Reserved Website Design & Management: CBFrey Designs Company
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... a Partnership for Survival.
General Donation Form
Glen Cove C.A.R.E.S. is pleased to offer online donation processing. Thank you for supporting Glen Cove C.A.R.E.S., Inc. and all our programs and initiatives. Your generosity will go a long way to help those who need it most.
Donation Form
Please completely fill out form below. Incomplete forms can not be processed. Thank You.
Name:
Address:
City: State: Zip:
Daytime Phone Number:
Evening Phone Number:
Cell Phone Number (if applicable):
Email Address:
Amount of Donation:
Credit Card Information (All information is transmitted using our secure SSL technology):
Name on Card: Card Type:
Credit Card Number: Expiration Date: Month Year
CVC Security Code:
Thank you for supporting Glen Cove C.A.R.E.S., Inc.!
