Pleasant Ridge Manor

PA: Pleasant Ridge Manor - Donations

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Donation Details

Please designate my gift to:*

Other Gift Designation

Please Do Not Complete The Following Field

My Gift is in Honor of:

My Gift is in Memory of:

Relationship:*

Parent

Spouse

Friend

Other (please detail your relationship in the field below)

Other Relationship

Name of Person to be Notified of your Gift

Address

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

E-mail of the Person to be Notified of your Gift

Phone of the Person to be Notified of your Gift

Phone Area Code-Phone 3-Phone 4 ext Extension

List my name in publications?*

Yes, please list my name

No, please do NOT list my name

I would like a representative of Pleasant Ridge Manor to contact me.*

Yes

Donation Amount*

Note: A service fee of $2.50 or 2.95%, whichever is greater, will be assessed for card payments. A fee of $2.00 will be assessed to payments made from checking/ savings accounts. The service fee will appear on the CHECKOUT page. If you do not agree to these terms, please click CANCEL below and make different payment arrangements. VISA, MasterCard and Discover cards accepted.

Note: Service Fees are non-refundable.

Note: To continue, please click CHECKOUT below. On the next page, by entering your e-mail address you’ll receive an e-mailed receipt from this transaction.

PA: Pleasant Ridge Manor - Donations

Donation Details

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