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.!