Donation Form

Donation Information

Type of Donation

One Time DonationRecurring Donation

Complete the following fields if this gift is a tribute (in memory/honor of someone). If not, please skip to next section. (optional)

Type of Tribute (Honor or Memory)

Full Name of Tribute Person (who you are honoring)

Send Notification of your gift to:

Notification Title

Notification First Name

Notification Last Name

Notification Address

Notification Address 2

Notification City

Notification State/Province

Notification Zip/Postal Code

Notification Email

Contact Information

First Name

Last Name

Company Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

The official registration and financial information of Meals on Wheels of the Greater Lehigh Valley may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 800.732.0999. Registration does not imply endorsement.

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Meals on Wheels of the Greater Lehigh Valley

Attn: Dina Kovats-Bernat

1302 North Sherman Street, Allentown PA 18109

610.691.1030

[email protected]