Online Donation Form

[For printable mail-in form, please click HERE.]

Donation Information

Amount:

$ 1,000.00

$ 500.00

$ 250.00

$ 100.00

$ 50.00

$ 25.00

Other

$

*

Additional Information

Type of gift:

One-time gift
Recurring gift

Corporate:

This donation is on behalf of a company/organization

Anonymous:

I prefer to make this donation anonymously

Comments:

How Did You Hear About Our Site?

Click here to send an E-Card (Optional)

Billing Information

Title:

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Home Phone:

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

*

Matching Gifts

My company will match my gift

Tribute Information

Please note that tribute gift acknowledgement cards can only be sent for gifts of $25 or more.

Tribute Name:

*

Type:

*

Message:

*

I have made a donation of $25 or more and request a card acknowledging my tribute gift be mailed to:

*

CLICK HERE TO DONATE TO THE KAZZI FUND.

The Kazzi Fund for Puppy Care was created by Eliot and Laurie Russman as a living tribute to their German Shepherd Dog, Kazzi. Your donation made to the Kazzi Fund will go to the care of current and future litters of Fidelco guide dog puppies.

Support Us

Donate Volunteer Apply

Already have a login?

Login here to:

Update your profile
View your giving history
Update your username or password

Note: If you were a member of our former website, you will need to follow the instructions for "New User Registration," to create new login credentials to enhance your security. The link between your new website login and your existing giving history records may take 24 - 48 hours.