Middle School - American Heart Association

Gift & Payment Information

Field Is Required Select Gift Amount:

$100.00

A $100 gift helps distribute 15 CPR Anytime kits.

$75.00

A $75 gift improves heart health with My Life Check.

$50.00

A $50 gift teaches children how to avoid obesity.

$25.00

A $25 gift plants the seeds to research funding.

Enter an Amount

Enter amount

Your donation helps save lives.

Gift type:

One-time gift

Sustaining gift

Select a Gift Duration:

Total Gift: 0.00

I’d like to customize how my donation appears on the student’s donor wall.

Yes, you can display my donation amount on the donor wall

Please don't display my name on the donor wall

Display my name as (optional):

I'd like to leave a personal note of encouragement for

Personal Note for Participant:

Your Donor Information

First Name:

Last Name:

Email Address:

Phone Number:

Yes, I would like to receive communication from this organization.

Street Address:

Street Address Line 2:

City:

State:

ZIP/Postal code:

Country:

Matching Gift

Enter your employer's name to see if they have a matching gifts program. If yes, be on the lookout for a follow-up email from the American Heart Association or your employer with next steps.

Your Payment Information

My billing information is the same as my contact information

Donor First Name:

Donor Last Name:

Street Address:

Street Address Line 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Check Information

tos

Yes