Susan G. Komen® - DIY Fundraising

Gift Information

Payment Information

Review Gift

Please enter your gift to On Your Own on behalf of Perry Catanese.

Gift Information

Field Is Required Select A Gift Amount:

100

150

Enter an Amount ($10.00 Minimum)

Enter amount

Add an additional 3% to offset fees?

Yes, add 3% to my gift total to offset fees

Additional Amount:

Yes, make this an anonymous gift.

Recognition Name:

Yes, you can display the amount of my donation publicly

Personal Note:

First Name

Last Name

Your Email

Phone Number

Company Name

Number of Employees

Start of Campaign

End of Campaign

Who is Your Payroll provider

Tell us About Your Fundraising Campaign

First Name

Last Name

Mobile Phone (optional)

OK to Text: Yes No

Your Email

Confirm Email

Is Your Fundraiser... (select all that apply)... With your company (if yes, what is company name)

Company Name

With your school or group (if yes, what is school name)

School or Group Name

A memorial or tribute?

In Memory? If yes, provide Memorial name.
In Tribute or in Honor? Enter the Tribute or Honoree name.

What is your anticipated completion date (the last day you plan to collect donations)

Tell us About Your Fundraiser

I would like to connect with a Komen Fundraising Coach