Dave & Carole Miracle Marathon

Thank you to our sponsor:


QPS Employment Group

There's real strength in numbers. When you renew your Miracle Club membership, you pool your gift with others' and make a tremendous impact on the care we provide at Children's Hospital.

Don't delay! Through August 1, your donation will be doubled. QPS Employment Group is matching up to $10,000 in donations.

We do not sell, exchange or otherwise distribute any type of donor information for solicitation or marketing purposes.

Please fill out this form to make a pledge.

* = Required Information

* Title:
* First Name:
  Middle Initial:
* Last Name:
* Address:
  Apt./Suite No.:
* City:
* State:
* Zip:
* Home Phone: ( ) -
  Work Phone: ( ) -
* E-mail:
 
Gift Designation:
  Area of Greatest Need
 
  Comments:
 
 
 
  Gift:
Double your impact by pledging online. Thanks to
the generous support of QPS Employment Group,
each dollar you give will be matched dollar for
dollar. Make your gift online today!
Monthly Payments of $
   OR  
Single Payment of $ .00
 
  Payment Method: Check (Bill me later) Credit Card
 
  Credit Card Type:
  Credit Card Number: (without spaces or dashes)
  Expiration Date:
  CVV2: (What's this?)
 

Lock You can safely enter your credit card number via our secure server, which encrypts all submitted information.

At Children's Hospital of Wisconsin we have taken measures to ensure the safety of your credit card use on our site.

Our secure server software (SSL) encryption is the industry standard and among the best software available today for secure commerce transactions.

This encrypts the credit card numbers and all of your personal information so that it cannot be read as the information travels over the Internet.

We do not sell, exchange or otherwise distribute any type of donor information for solicitation or marketing purposes.