Donation Form

Supplies Over Seas is a 501(c)3 non-profit and your tax-deductible

donation helps us send a world of health and hope.

$5, $10, $5,000...Whatever you can manage.

Every amount is important and goes a very long way. For every $1 donated, SOS provides

more than $15 in medical supplies and equipment to medically under-served communities.

Thank you for your support of Supplies Over Seas and Giving Tuesday 2016!

* Required Fields

Donation Information

Amount

$100

$500

$1,000

Other

Type of Donation

One Time Donation
Recurring Donation

Frequency

Complete the following fields if this gift is a tribute. (optional)

Type of Tribute

Tribute Name

Title

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Contact Information
* First Name
* Last Name
Company Name
* Address
Address 2
* City
* State/Province
* Zip/Postal Code
* Home Phone
Cell Phone
Work Phone
* Email

Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to SOS International and I will donate $0.00. No. I will donate $0.00 and SOS International will cover the processing costs.

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

Privacy Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Supplies Over Seas • 1500 Arlington Avenue • Louisville, KY 40206 • (502) 736-6360 • [email protected]