DIGITAL ONLINE PLEDGE CARD

Supporting Women and Children in Need

Please join us in building a world where women and children
are safe and valued by pledging your support today.

FOLLOW US!

Tell us how you got here - to this online pledge card! *

Did a SeneSister refer you to sign up? If YES, tell us their name and ID# below! *

One-Time Donation

One-Time Donation Amount

Processed from next month's commission check (SGI Distributors)

Processed from next paycheck (SGI Employees)

Check Payment

Credit Card Payment

CLICK HERE - for a SET AMOUNT to be donated each month:

Monthly Donation -SET AMOUNT

Monthly SET amount to be donated

CLICK HERE to indicate a PERCENTAGE of your monthly commission to be donated each month:

Monthly Donation - PERCENTAGE

Monthly Percentage Amount

*Monthly Credit Card donations MUST be a set amount and cannot be a percentage.

Processed from each month's commission check (SGI Distributors)

Processed from each payroll check (SGI Employees)

Credit Card Payment automatic draft on or before the 10th of each month

Please indicate below if you are already a donor and are changing your monthly donation with this submission.
(If you check Not Sure, we will confirm via email before finalizing this pledge donation.) *

If you are a current monthly donor, please indicate below if you are increasing or decreasing your monthly pledge. (Once we receive your completed pledge online, we will delete your old pledge card and use this one as your current commitment.)

First Name *

Last Name *

Are you a SeneGence Distributor? *

Distributor ID *

Email Address *

Phone Number *

Street Address

City *

State/Province/Region *

Zip/Postal Code *

May we list your name on the Make Sense Foundation website?

Yes, I wish to be recognized

No, please keep my information anonymous

My signature below authorizes the Make Sense Foundation to process payment according to my selection and amount noted above.
Furthermore, I understand that monthly donations will be ongoing until I send written notice stating otherwise. *

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Payment Information

Please choose method of payment: *

Check

Monthly Commission/Paycheck

Credit Card

Check Payment

Check # Check #

Checks must be made payable to: The Make Sense Foundation

Please send to:

320 S. Main Street

Sapulpa, OK 74066

Name on Card

Credit Card Number

Expiration Date (mm/yy)

Security Code (3 Digit Number on Back of Card)

Billing Zip/Postal Code

If you chose to have your one-time or monthly contribution deducted from your Commission and/or Paycheck, you are all set! Just click NEXT below and be sure to submit your form.

Thank you for your contribution!

The Make Sense Foundation is a 501(c)(3) nonprofit organization where all contributions are tax deductible.