Donation

Thank you for making a donation to Impact100 Metro Detroit.

Please choose what your donation will be used for under "Restricted/Unrestricted" below.
* Unrestricted/Any Use
* Restricted/Sponsored Membership - you choose a recipient for your $1,100 donation
* Restricted/Supported Membership - I100 MD chooses a recipient for your donation of any amount
* Restricted/To be Used for a Committee or Campaign

After clicking SUBMIT below, please see the following page to fill out the form to specify a person or use for your donation if applicable.

Donation Amount: Restricted/Unrestricted First Name: Last Name: Email: Phone: Address: City: State: Zip: -

If you would like to manage your Neon CRM account (i.e., view and print donation history, update profile, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

Billing Information

Payment method: Credit Card
American Express

E-Check PayPal Pay Later

We offer several ways to pay!

Please click the Alternate Payment box below to fill out the necessary forms. We offer:

*corporate match payments through your employer

*pay via your charitable trust

*monthly automated credit card payments

*join as a fully sponsored member (paid by your employer or an individual)

*apply for monetary support from I100MD

*pay by check (via mail)

Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information Routing Number: Account Number: Account Type: Account Holder First Name: Account Holder Last Name: Billing Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Click this button to make your payment via PayPal.
Note: You will be redirected here once your payment is processed by PayPal.

Click this box to fill out our alternate payment forms on the next page

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.