Online Donation

Use this form to pledge a donation online. If your donation is a memorial or honorarium, please note details in the comment box.

Please make check payable to Childrenz Center and mail to:
Childrenz Center
1185 Sheridan Road
Glencoe, Il. 60022

New User? Please register

Account information

Username*

Password*

Retype password*

Skip authentication step

Donor information

First Name*

Last Name*

Organization*

Address*

City

Zip*

State

Phone*

Email*

Comment*

I will pay for payment gateway fee?

No Yes

Annonymous donation

I would like this donation to be made in honor of someone

in honor of

in memory of

in dedicate to

in remembrance of

Honoree's Name

Honoree's Email

Donation Information

Donation type

Onetime Recurring

Frequency

Number occurrences

Amount

$ 50.00 [ Mensch ] $ 100.00 [ A Real Mensch ] $ 250.00 [ My Kind of Mensch ] $ 500.00 [ A Complete Mensch ] $ 1,000.00 [ A Major Mensch ] $ 2,500.00 [ Mega Mensch ] $ 5,000.00 [ Ultimate Mensch ]

Payment method *

Paypal
Offline Payment

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card type*

Card Holder Name*

By making this donation and agreeing to the Privacy Policy you agree to this web site storing your information.

Verification code*