Donation Information

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

To set up a recurring donation, click here.

Other $

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

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Card Type*

Card Number*

Expiration Month*

Expiration Year*

Card Security Code*

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

Name(s) to acknowledge

I would like this donation to remain anonymous

Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

Last Name

Address

Other Ways to Give

Give by Phone

You can make a gift by calling: 701-530-0986

Give by Mail

You can also give by printing this form and mailing to:

Northern Plains Dance

1125 E Main Ave

Bismarck, ND 58501