Jordan Morris Foundation

The mission of the Jordan Morris Foundation is to educate, inspire and support the lives of children with T1D. My goal is to accomplish this through fundraising and outreach to children and youth with T1D.

You can donate by credit card using this form, or send a check made out to Seattle Foundation with “Jordan Morris Foundation” in the memo line to the following address:

LB#1069
Seattle Foundation
PO BOX 35146
Seattle, WA 98124-5146

To make a donation of stock or other assets, please contact Seattle Foundation at 206.388.1652 for delivery instructions.

Donations are tax-deductible to the extent allowed by law.

Recurring Option

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Full Name

OPTIONAL INFORMATION

I would like my gift to be anonymous.

Yes

Note

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

In Memory Of:

Honoree Name:

Send Email acknowledgement to:

Send Postal Mail acknowledgement:

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip/Postal Code:

Country:

Dedication Message:

Payment Details

Credit Card

Routing Number: *

Account Number: *

Check Number: *

Account Type: *

Check Type: *

Name on Card: *

Credit Card Number: *

Card Verification (CVV): *

Expiration Date: *

CardExpirationYear

Invoice Number:

Purchase Order Number:

Name: *

Reference Number:

Terms & Conditions

No goods or services were received in exchange for this gift. Your donation is tax-deductible to the extent allowed by law.

You will be charged:

Secured and Powered by Click&Pledge

The Jordan Morris Foundation is a component fund of Seattle Foundation.

Advanced Redirect

The patron will be redirect to the following pages based on the authorized result.

Important Note:

The redirect pages have to be secure otherwise no redirect will occur.
If your server is offline for any reason the redirect will fail, resulting in error. If the patron experiences a page not found based on your server’s availability it may result to double charges

Use complete URL including https://

Success landing page * :

Declined landing page * :

The following URL parameters are included in the response and may be used on the landing page via custom programming:

Example Success URL:
https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker

on = OrderNumber
result = success
response = authorized
t = totalamount
refid = referenceid
trk = tracker

Example Decline URL:
https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount

on = OrderNumber
result = failure
response = dcl
t = totalamount