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Gift Membership

MEMBERSHIP LEVEL

RECIPIENT INFORMATION

Recipient Information

Recipient First Name *

Recipient Last Name *

Spouse/Partner First Name

Spouse/Partner Last Name

Recipient Street Address *

City *

State *

Zip Code *

Recipient Phone Type *

Recipient Phone Number *

Recipient Email Address

Send Membership Packet to: *

Donor (Me)Recipient

YOUR INFORMATION

First Name : *

Middle Initial :

Last Name : *

Email : *

Country : *

Address : *

City : *

State : *

Province : *

Zip/PostalCode : *

Phone (Please indicate phone type) :*

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 :

You will be charged:

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Thank you for giving the gift of a Center for Puppetry Arts Membership!

Your Gift Membership will be active and the welcome pack will be mailed to the recipient within 5 business days of purchase.

IMPORTANT: Please note that during the holiday season, Gift Memberships purchased after December 19 cannot be guaranteed for Christmas delivery.

Please contact the Membership Office with any questions: 404.881.5151 (Tues-Sat).

NOTE: if you have a promo code, please call the Membership Office. Promo codes cannot be redeemed for Gift Memberships online.

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

Thank you for your Donation

Gift Membership

MEMBERSHIP LEVEL

RECIPIENT INFORMATION

YOUR INFORMATION

Honor/Memorial Gifts

PAYMENT DETAILS

Terms & Conditions

Matching Gift

You will be charged:

Advanced Redirect

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