Donation Form - Captain Rollo's Kids at Sea

If you would like to make a general donation to Captain Rollo Kids at Sea, or make a donation in memory of or to honor a loved one, please complete the form below.

Captain Rollo Kids at Sea is a 501(c)(3) non-profit corporation.
Contributions are tax-deductible. Tax ID #45-5624805

Name

First

Last

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

I would like to make the following type of donation:

General

In memory of

In honor of

Donation Details:

Amount*

Payment Method*

Check

Credit Card

Payment

Visa

Mastercard

Amex

Account Number

Exp Date

Security Code

Billing Address if Different from Above

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

If you would like us to send a card to notify the person of your gift, please include a name and address below.