Birthday Blessing, Inc.


home about us faq volunteer donations our calender what they're saying contact us	Donations Your donation information is below: Donation Amount: $$order_total "; //-------------------start pay by check if ($payment_type == "Check") { echo " Please mail your donation to: Birthday Blessing, Inc. 43546 Firestone Place Leesburg, VA 20176 *Thank you for supporting Birthday Blessing!* "; } //--------------------end pay by check //-----------start paypal ELSEIF ($payment_type == "PayPal") { echo " "; $Name=urlencode($Name); $Email=urlencode($Email); $Street=urlencode($Street); $City=urlencode($City); $State=urlencode($State); $Zip=urlencode($Zip); echo " Please press the button below and you will be prompted to send your donation to: donations@birthdayblessing.org *Thank you for supporting Birthday Blessing!!!* "; }//end elseif //-----------end paypal ?>

home
about us
faq
volunteer
donations
our calender
what they're saying
contact us

Your Information:

Name:
Street Address:
City:
State:
Zip Code:
Home Phone:
Home Email:

How much would you like to sponsor?
(note: $30 sponsors 1 child)
$ (#'s only)

Please charge my credit card monthly.

Donation Made in the Honor of...(Card will be mailed)

Name
Address
City
State:
Zip
Birthday
Any other information, or message on donation card: </td></tr></tbody></table><table><tbody><tr><td><p>There are 2 ways you can make a donation to Birthday Blessing. You may either submit this form indicating that you will be sending a check or you may submit this form and transfer your payment through PayPal. We have integrated our site with PayPal to make the process of transferring funds via credit card very easy. Please select a method below and payment instructions will appear upon submission of this form.</p><input type="radio" name="payment_type" /> I will send my donation to Birthday Blessing, Inc. by mail<br /><input type="radio" name="payment_type" /> I will make my donation through <a class="bodylink" href="http://www.paypal.com/" target="new">PayPal</a> </td></tr><tr><td> </td></tr><tr><td><div align="center"><input type="submit" /> <input type="reset" /></div></td></tr></tbody></table></form><p /><!-- HERE IS WHERE THE BODY OF THE PAGE ENDS----------------------------------------------------------------------------------- --></td><td valign="top" width="89"><br /><div align="center"></div></td></tr></tbody></table></td></tr><tr bgcolor="#ffffff"><td background="/images/perri_bg.jpg" width="139"> </td><td background="/images/perri_bg.jpg" width="611"><center><span class="footer">Birthday Blessing, Inc. \| 43546 Firestone Place \| Leesburg, VA 20176 \| 703.481.8180 \| 703.779.1309 fax <br />Email: <a class="footer" href="mailto:info@birthdayblessing.org">info@birthdayblessing.org</a><br />Web design and development by <a class="footer" href="http://www.colleenlockard.com/" target="_blank">ColleenLockard.com</a></span> </center></td></tr><tr><td height="16" colspan="3"> </td></tr></tbody></table><!--p } --></body></html>