Thank you for Building Families, Touching Hearts and Changing Lives! You may make instant donations on this form via Credit/Debit cards, EFT from Checking/Savings Accounts or Pledge & Mail Check. Please call us at 1-888-887-7139 x1 if you need to change your reoccurring donation, or need a custom reoccurring schedule.

 
 

Contact Information

First Name*
Last Name*
Country*
Address*
City*
Postal Code*
Email*
Confirm Email*
Phone*
Fund

Minimum electronic Donation is $5 or more.  Smaller donations can be sent via Check or Money Order to PO Box 88, Attica, MI 48412.

 

 
Donation Amount*
$
Donation Frequency*

Payment Information

Payment Type
Credit CardEFTMail Check
Amount*
$
Card Type*
Name on Card*
Card Number*
Expiration Month*
Expiration Year*
Additional Comments


By pressing 'Submit' your first donation to Smile FM will be processed immediately! A reoccuring donation (IE monthly, etc) will process on or about the same interval thereafter.

Please be patient and do NOT press Submit more than once or duplicate charges may occur (We suggest waiting a couple of minutes and checking for a confirmation email before trying again).

Questions? Please call us at 1-888-887-7139 x1
Reset

Share This Form

Powered by eTapestry.