Year-End Giving Form 2025 | Civitan International

2025 Year-End Giving

Name(Required)

First Last

Email(Required)

Phone(Required)

Is this donation on behalf of a club?(Required)

Club Name

Gift Allocation

Please indicate which event(s) or program(s) you would like your gift designated towards. The "Total" field at the bottom of this page will total all allocations for your total gift.

Civitan Impact Program

Impact Program donations do not qualify towards Civitans at the Helm total.

All In Summit

All In Summit donations qualify towards Civitans at the Helm total

Student's Name (For Individual Gifts Only)

If an individual is making a donation, please include the name of the student you are donating on behalf of. Clubs are not permitted to donate on behalf of a student.

Breakthru Golf Benefit Donation

Golf donations qualify towards Civitans at the Helm total.

Please Submit Golfer's Name (if applicable)

Walk & Roll Donation

Walk & Roll donations qualify towards Civitans at the Helm total.

Please Submit Walker's Name (if applicable)

Civitans at the Helm Donation

Amount of any additional CATH donation outside of All In, Golf or Walk & Roll donations already entered above. Do not use this field to total event donations which qualify toward CATH.

General Donation

Any additional general fund donation.

Total

Credit Card

Cardholder Name

Card Details