WCBR Donation Form

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

MAKE A DONATION TO THE WCBR FOUNDATION
Thank you for considering a donation to the WCBR Foundation.
Your gift will truly make a difference in the lives of residents and staff at Westminster-Canterbury of the Blue Ridge.

Thank you for considering a donation to the WCBR Foundation. Your gift will truly make a difference in the lives of residents and staff at Westminster-Canterbury of the Blue Ridge.

Donation Amount

To Be Used For:

Select one option: *

Where Most NeededFellowship—a safety net for residentsStaff Support

Tribute Gifts: (Optional)

IN HONOR OF:

IN MEMORY OF:

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

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: *

Invoice Number:

Purchase Order Number:

Name: *
Reference Number:

Your Total Donation Amount to be Charged:

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About the WCBR Foundation

How your gift will help:
• Gifts to be Used Where Most Needed allow our trustees to respond to changing needs in the WCBR community.

• Gifts for Fellowship provide a safety net to residents who run out of money through no fault of their own.

• Gifts for Staff Support help our hardworking staff to further their education, handle an unexpected crisis or receive recognition for their service.

If you have questions or need assistance,
please contact Erica.Stein@wc-br.org
or call (434) 972-2574.

WCBR Foundation Website

How your gift will help:
Gifts to be Used Where Most Needed allow our trustees to respond to changing needs in the WCBR community.
Gifts for Fellowship provide a safety net to residents who run out of money through no fault of their own.
Gifts for Staff Support help our hardworking staff to further their education, handle an unexpected crisis or receive recognition for their service.

If you have questions or need assistance, please contact Erica.Stein@wc-br.org or call (434)972-2574.

https://westminstercanterbury.org/foundation/