One Time Donation Form

No matter how big or small, your gift today will save more lives...

Donor Information
Donation Selection
Select the charities you want to donate to and enter a custom amount if required by your selection. Donations must be at least $1.00. You can view the different charity descriptions here.
Blue Jeans Donation
Action Donate To Amount
No charities selected.
Donation Subtotal: $0.00

NOTE: Our Third Party Processor will apply a processing fee for donations in credit/debit cards and electronic checks. For credit/debit cards, it is $1.49 for any donation amount under $60 and 2.50% for any donation amount over $60. For electronic checks, it is $0.95.