Donation Form

Back to Dedication Opportunities

Use the form below to donate to Child Life Society.
You can also donate by calling (866) 4-help-cf (1-866-443-5723)
or mailing a check to: 1347 43rd St. Brooklyn, NY 11219.
Please make the checks payable to Child Life Society.

For sponsorship and dedication opportunities,
please call our office at (718) 853-7123

1-time Donation:
Amount: $
or
Please charge my card Monthly.
$ a month for

Total Donation Amount : $

Title:
First Name:
Last Name:
Company Name:
Address:
City:
State/Prov:
Zip Code:
Country:
Phone Number:
Email Address:

Card Type:
Card Number:
Exp Month:
Exp Year:
3 Digit Code:
This is the 3 or 4 digit number printed on the front or back of your card.

Please mail me a receipt

Comments:
(To have us notify someone that a gift has been made in their honor, please enter an address or email address below):

Child Life Society is a non-profit 501c3 organization and your contribution is tax deductible as allowed by law. Tax ID # 11-3519275. No goods or services were exchanged for this donation.

The children deeply appreciate any amount you can contribute.