1 Your Information2 Confirmation Name* First Last Email* Phone*Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please let us know if you'd prefer to sponsor a:*GirlBoyNo PreferenceI wish to sponsor a child for:* UCLA Youth Football Camp I'm Going to College Day Holiday Food Drive Holiday Toy GiveAway No Preference Donation Amount* It is our goal to send 100% of your donation to the designated child. We will strive toensure that all contributions designated for a specific child will be applied towards theproject supporting that child. Although it is not our intent, there may be futureadministrative needs that our budget cannot support; at such a time, we will use a portionof contributions to meet those needs. Contributions are solicited with the understanding thatShelter 37 has complete control over the use of donated funds. Your donations are taxdeductible. Tax ID #27-0035103Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Donation Total: $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.