words block

December 14, 2017July 26, 2023 tedfundy

Donation Station

Contribution Amount *

Colossal Contributer - $ 200.00

Awesome Advocate - $ 100.00

Super Supporter - $ 50.00

Fantastic Friend - $ 25.00

BICAS Believer - $ 10.00

Other Amount - $ 0.00: (Select this option to enter another amount below.)

Other Amount

Total Amount

I want to contribute this amount every month(s)

I am contributing on behalf of an organization.

On Behalf Of Organization

Organization Name *

Phone (Main) *

Email (Main) *

Street Address *

City *

Postal Code *

Country *

State / Province *

In Honor of In Memory of Gift

Select an option to reveal honoree information fields.

Individual Prefix

First Name

Last Name

Email Address

Donor Profile

Tell us a little more about yourself!

First Name *

Last Name *

Street Address (Home)

City (Home)

Postal Code (Home)

Country (Home)

State (Home)

Email (Primary)

Phone

May we thank you on the BICAS website?

Yes No

Value of donation *

Donor Privacy

BICAS shall never sell, rent, lease or exchange personal donor information with other organizations. BICAS assures that the identity of all who contact us will be kept confidential. Use of personal information will be limited to BICAS.

Security

BICAS is committed to ensuring the security of personal donor information. To prevent unauthorized access, maintain data accuracy, and ensure the proper use of information, we have established and implemented appropriate physical, electronic and managerial procedures to safeguard and secure the information we collect online. BICAS uses Secure Socket Layer (SSL) Protocol when processing sensitive data such as credit card information. Any information you enter is encrypted at check-out.