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
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*
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Card Type*
Card Number*
Expiration Month*
Expiration Year*
Card Security Code*
Acknowledgement
For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)
Name(s) to acknowledge
I would like this donation to remain anonymous
Dedication Information (Optional)
Dedication Type
Dedication Honoree Name
Personal note to be included with donation
Dedication Acknowledgment Information
Acknowledge by
First Name
Last Name
Address
Email

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