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

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

CreditCard

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:

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. *

BusinessIndividual

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 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 EIN 20-0165051

Advanced Redirect

Your donation:

Donation Amount

Billing and Contact Information

Honor/Memorial Gifts

Payment Details

Terms & Conditions

Matching Gift

You will be charged:

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