Credit/Debit Card Donation Form Silent Donor International

Silent Donor -- Credit/Debit Card Authorization Form

Welcome to Silent Donor. This is an encrypted and data-protected form. If you'd like to donate via bank transfer or other means, click "Donate Now" in our site menu at the top of this page. Please note - your tax-deductible donation receipt will come from the secure fund we created, The Silent Donor International.

Are you donating as a person or as a company? Person Company

Name on Card

Company Name on Card

Full Name of the Organization to Receive Your Donation

Please be as specific as possible! If applicable, write in a specific state/city or a specific cause within an organization. Examples: United Way of Metro Chicago, University of _ Scholarship Fund, Zac Plantz Foundation

If you would like to donate to the global initiative created to support Ukraine, please write United24(you can specify your donation to support Humanitarian/Medical Aid, Rebuilding Efforts, or Defense/Demining, if you'd like)

(CANNOT donate to Political Parties, Candidates, Campaigns, PACs, or Super PACs)

Amount You Would Like To Donate (minimum $50)

Billing Address

I authorize Silent Donor to charge my credit or debit card for the authorized amount. I also agree to Silent Donor's Terms of Service and Silent Donor International's Terms of Use. Yes No

Would you like your donation to cover third-party credit card processing fees? Yes No

Would you like to receive a donation receipt from us after we send your donation to the organization of your choice? Yes No

Please note that we send donation receipts only if clients request them.
We will send an encrypted email with the receipt information that
will delete itself after 72 hours to protect clients in the event their email is ever hacked.
Please note that checking "Yes" will potentially leave a small window of vulnerability.
We typically send all client donations on the final Thursday of each month (except for GoFundMe donations, which are sent within 3-4 days).

Amount You Would Like To Donate (minimum $50) :

$0.00

Credit Card Processing Fee :

$0.00

Amount Due:

$0.00