Annual Appeal Fund Donation Form

One time onlyMonthlyYearly

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

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:

You will be charged:

Secured and Powered by Click&Pledge

Save Ellis Island works closely with the National Park Service to preserve the important history of one of our nation’s most prized landmarks, a tribute to American culture and society and the American way of life.

Saving Ellis Island is more than a restoration project; it’s about completing the story of immigration to the United States through Ellis Island.

We cannot continue this work without your help. We ask that you make as generous a gift as possible.

Your gift to the 2022 Ellis Island Annual Appeal Fund is 100% tax deductible.

Thank You!

P.S. Saving Ellis Island is more than a restoration project; it’s about completing the story of immigration to the United States through Ellis Island. Please see our latest brochure on the important roles the buildings on the south side of Ellis Island played in healthcare and immigration.

VIEW BROCHURE

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

Your donation:

Honor/Memorial Gifts

You will be charged:

Advanced Redirect

Processing...