Recurring Donation Information

Please complete the form below and click on "Submit" to begin your your recurring donation series.

Your first donation will be processed immediately, and future donations will be charged on the same day of the month, based on the frequency seclected below.

To submit this form, all "*" fields must be filled in.

Recurring Amount*

Frequency*

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Card Type*

Card Number*

Expiration Month*

Expiration Year*

Card Security Code*

Other Ways to Give

Give by Phone

You can make a gift by calling:

(585) 232-1366

Give by Mail

You can also give by printing this form and mailing to:

75 Woodbury Blvd

Rochester, NY 14607