Mothers' Milk Bank Austin

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

A donation to Mothers' Milk Bank is an investment in improved survival and development for vulnerable babies born too soon and too small. 100% of your contribution is directed to ensure that all infants with a medical need for donor human milk receive it, regardless of insurance or financial resources.

Mothers' Milk Bank has saved the lives of more than 50,000 premature and medically-fragile babies since opening our doors in 1999.

Because of people like YOU, every child with a medical need for donor human milk who has reached out to us has been served--regardless of insurance coverage or a family's ability to pay.

100% of your gift this season will be dedicated to our mission to save babies' lives and will enable us to provide more milk to more vulnerable children throughout North America.

Each donation amount represents the meals you will providing to fragile babies. And this year, depending on the donation amount, you'll receive an incentive gift. We'll be mailing it out early next year!

Donation Details

Direct Your Gift

What program would you like to support? *

Honor/Memorial

Is this donation in honor or memorial of someone?

Honoree Name

Mail tribute card to (name and address):

Comment for tribute card:

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Full Name

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

Send Postal Mail acknowledgement:

Payment Details

Credit Card eCheck

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:

Advanced Redirect

Your donation:

Honor/Memorial Gifts

You will be charged:

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