Connect Click&Pledge

Together we can SEE A CURE for eye cancer.

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

Since its inception in 2003, OMF has raised over a million dollars towards the fight against ocular melanoma. Each year, we fund breakthrough research through our partnership with the American Association for Cancer Research (AACR) and put on amazing, patient-centric events such as the Eye Am Not Alone (EANA) Retreat. 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 torwards, one day, seeing a cure for 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 seeacure@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 :*

TRIBUTE INFORMATION

Donation Details

Donation Designation *

Name of person being honored or memorialized *

Other than yourself, who should we notify of this donation?

Street address of party to be notified:

City, State, Zip/Postal Code of party to be notified:

E-mail of party to be notified:

Warrior Fundraising Opportunities

I would like to be contacted about possibilities to raise awareness and funds for OMF:

Yes, please reach out

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 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 :

I would like to receive the OMF newsletter

Eye on a Cure e-newsletter

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