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

Donation Amount

$43 - Dedicated Minimum Donation

I want to donate more than the Dedicated Minimum Donation

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:

Certificate Information

Please complete for the individual or business that will be redeeming the Certificate at the DMV. The name(s) entered here must exactly match your current vehicle registration or driver's license. *

Business

Individual

Please enter the name of the Business.

Please enter First, Middle, and Last name as shown on your current vehicle registration or driver's license. Note: You may enter up to 5 names.

Terms & Conditions

You will receive a certificate of eligibility to purchase the Colorado Childhood Cancer Awareness Special License Plate by email within 5 business days of this transaction.

The name on the certificate must exactly match the name on your current vehicle registration or driver’s license. Names that do not match will delay the license plate purchase process.

If you have questions, please email meg@morganadamsfoundation.org

The Morgan Adams Foundation is a registered 501(c)(3) with Federal EIN 20-0165051. This donation is non-refundable. We confirm the donor will receive no goods or services in exchange for this donation.

Advanced Redirect

Your donation:

Honor/Memorial Gifts

You will be charged:

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