Challenge Gift Entry Form

Name of Organization receiving challenge gift(Required)

Gift Amount (Minimum donation amount per gift: $500)(Required)

(Minimum donation amount per gift: $500)

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Nonprofit's Name

Donor First Name(Required)

Donor Last Name(Required)

Spouse/Partner First Name

Spouse/Partner Last Name

Company/Business

Donor Name for Website. It may be an individual, couple, family, business name, foundation, or anonymous.

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Email used to send confirmation email

Phone(Required)

Gift

Price:

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Transaction Fee

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Transactions Fee for CC

Hidden

Transactions Fee for ACH

Were you born between 1988-2005?

Yes

Used to award organization with Most Donors ages 18-35

Is this gift anonymous?

Yes

If yes, we will not publish or share donor information

Payment Methods(Required)

Credit Card

Check (Mailed)

eCheck (ACH)

Billing Address is Different?

Yes

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date Month Year

Security Code Name as it appears on Credit Card

eCheck (ACH) Details

Account Number Account Type Routing Number Account Holder Name (max 22 characters allowed)

Check Number

We encourage you to give by credit card via this website. If you would like to donate by check, please submit this completed form and mail your check to:
The Volunteer Center
1740 17th Ave.,
Santa Cruz, CA 95062

Challenge Gifts must be $500 or more. If you wish to make a Challenge Gift to more than one organization, you will need to submit one of these Challenge Gift forms per organization. However, you can combine your donation onto one check. The $500 minimum is per organization.

Checks must be made payable to Santa Cruz Gives. On the memo line write the name of the organization.

Yes, I'd like to cover the 3.5% transaction fee so 100% of my donation goes to my chosen nonprofit. (For credit card transactions only)

Yes

Cover Transaction Fee

Fee: $0.00

Challenge Gift Amount

Total:

Questions? Please email info@SantaCruzGives.org or call 831-427-5070 x123.