Books from Birth online donation - Web Form

This is only a preview. No submissions will be saved, nor will emails be sent.

Header Image

Your Donation Supports Books from Birth
A Dolly Parton's Imagination Library GTR and Traverse Bay Sunrise Rotary Partnership

Donation *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Please make the amount of my donation anonymous *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Yes

No

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Name *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

First Name

A value must be entered before continuing.

Last Name

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Organization *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Job Title *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Email *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Address *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

Address Line 1

Address Line 2

A value must be entered before continuing.

City

A value must be entered before continuing.

State

A value must be entered before continuing.

Zip

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

For recognition/tax purposes, list my/our name as: *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

I wish to be listed as an anonymous donor *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Yes

No

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

Gift Note *

A value must be entered before continuing.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing. Invalid Email Format

A value must be entered before continuing.

$ A value must be entered before continuing.

A value must be entered before continuing.

Please choose one of the above options to continue.

Please choose one of the above options to continue.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A value must be entered before continuing.

A donation amount must be chosen before continuing.

$

A non-zero value must be entered before continuing. A value must be entered before continuing.

A non-zero value must be entered before continuing. A value must be entered before continuing.

One Time

Recurring

Please choose one of the above options to continue.

I will cover the 3% processing fees.

For added security please close your internet browser after you have been brought to our confirmation page.
100% of your donation goes to support children's literacy in our community.
Dolly Parton's Imagination Library GTR is a section 501(c)(3) nonprofit organization. EIN 84-3584288