Dave & Carole Miracle Marathon


Dave & Carole Miracle Marathon

Join the Miracle Club today!

Every year, your generous pledges to support Children's Hospital of Wisconsin make a difference in the lives of thousands of children in our community.

We invite you to become a Miracle Club member. When you join the Miracle Club, you make a gift of $25 or more a month to Children's Hospital of Wisconsin.

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:
 
 
  Comments:
 
 
 
  Gift:
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?)
 
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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.