Wellspring Counseling


By filling out this pledge card, I allow Wellspring Counseling to process my credit card on Give Miami Day 11/15/2018. Please do not fill out credit card information on the following page. Wellspring will manually process your credit card information from this page on 11/15/2018.
Donation Amount *
Name
Company
Email Address
Phone Number
Billing Address
City
State
Zip
Name on Credit Card
Credit Card Number
Security Code
Expiration Date
Referred by:
I want to help cover the credit card and transaction fees for my donation(s) by adding 4.5% to my transaction. Please note: The Miami Foundation does not collect a fee from Give Miami Day.	Yes

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