Donation Information

Please complete the form below and click on "Submit" to make your tax-deductible donation.

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

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Salutation

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Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

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Dedication Information (Optional)

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Personal note to be included with donation

Dedication Acknowledgment Information

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Other Ways to Give

Make a Recurring Donation

Give by Phone

You can make a gift by calling:
336.725.1904

Give by Mail
You can also give by printing this form and mailing to:
SECCA
750 Marguerite Drive
Winston-Salem, NC 27106