Together we can end eye cancer.

A 501(c)(3) non-profit, the Ocular Melanoma Foundation (OMF) is one of the leading research and patient support organizations focused on ocular melanoma-eye cancer.

Since its inception in 2003, OMF has raised much needed funding towards the fight against ocular melanoma. Each year, we fund breakthrough research through our partnership with the American Association for Cancer Research (AACR).

We created two programs specifically aimed to assist patients with their travel to specialized medical treatments (TAG) and help those who need an eye prosthetic (PAP) as part of their treatment plan.

None of this would be possible without donors like you. Thank you for helping us in our quest to support patients and caregivers as we work towards, one day, seeing a cure for ocular melanoma-eye cancer.

If you have any questions at all about OMF or where your donation goes, don't hesitate to drop us a line at info@ocularmelanoma.org.

Your donation:

Donation Amount

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Your public posted comment:

Details

Donation Details

Donation Designation *

WHO (person being honored or memorialized) *

Other than yourself: NOTIFY WHO ELSE:

THEIR Street address:

THEIR City, State, Zip:

THEIR Email:

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 eCheck

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:

Secured and Powered by Click&Pledge

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

Together we can end eye cancer.

Your donation:

Donation Amount

Additional Fee

Billing and Contact Information

Details

Honor/Memorial Gifts

Payment Details

Terms & Conditions

Matching Gift

You will be charged:

Advanced Redirect

Processing...