1. Enter Your Personal Information  (* Required fields) -- As It Appears On Your Credit Card


Donation Amount *
$.00 
Full Name *

Business Name
    Residence Business

Address *
 
City *
 
State/Province *
 
ZIP/Postal Code*
 
Country*
 
Phone
 
Email *
 

2. Optional - Founder's Circle

The founder's circle is a simple and easy way to pledge your support monthly or quarterly.
Your membership will continue for one year from today, and you can cancel at any time.
Thanks again for your generous support!

  Join Frequency

3. Optional - Decline your gift(s)


Decline Gift(s) By declining your gift(s) you help save our costs. Thank you!

    Police and Sheriff Donation Gifts:

  • $100 or more will receive a Lapel Pin.
  • $250 or more will receive a Toy K-9, Custom Plaque, and Lapel Pin.
  • $500 or more will receive a Gold "Challenge Coin", Toy K-9, Custom Plaque, and Lapel Pin.
  • $1,000 or more will receive a Platinum "Challenge Coin", Toy K-9, Custom Plaque, and Lapel Pin.

    Firefighter Donation Gifts:

  • $100 Fire Lapel Pin.
  • $250 Toy Dalmatian Dog.
  • $500 Paracord Keychain.
  • $1,000 Limited Edition Fire Bottle Opener.
  • $2,500 Receive All Gifts Plus A Firefighter Donor License Plate Frame.

4. Enter Your Credit Card Information



Credit Card Number Expiration Date
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