Home / Centerstone Employee Giving – Credit Card Centerstone Employee Giving – Credit Card Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to print (Opens in new window) "*" indicates required fields I WOULD LIKE TO GIVE (click and choose one):** $25 $50 $100 $250 $500 Other Other - Amount Total WHERE I WOULD LIKE MY DONATION TO BE USED (click and choose one):*Changing Lives Together Fund (Area of Greatest Need)CARES Fund (direct client assistance)Research Institute/National Mental Health Research FundMilitary ServicesEndowment (securing Centerstone's future through philanthropy)CARES Fund (direct client assistance)Anywhere at CenterstoneFloridaIllinoisIndianaTennesseeChanging Lives Together Fund (Area of Greatest Need)Anywhere at CenterstoneFloridaIllinoisIndianaMilitary ServicesTennesseeMilitary ServicesNational Veterans Counseling FundCohen Military Family Clinic - Clarksville, TNCohen Military Family Clinic - Fayetteville, NCCohen Military Family Clinic - Jacksonville, FLEndowmentThe Ella P. Hayes Fund (supports services in TN) - *RThe Richard D. Sivley Fund (A) (supports children and youth services in TN - Davidson and contiguous counties) - *RThe Richard D. Sivley Fund (B) (supports children and youth services in TN) - *RThe George Spain Research Fund (supports behavioral health research) - *RThe Dede Wallace Fund (supports services in TN - Davidson and contiguous counties) - *RThe Janet Ayers Endowment FundThe Bonnie Brackett Endowment FundThe Steven E. Bryant Endowment FundThe Lisa Hooker Campbell Endowment FundThe Terrye Davidson Endowment FundThe Jennifer Embree Endowment FundThe David J. Emmert Endowment FundThe Mark Faulkner Endowment FundThe Richard H. Fitzgerald Endowment FundThe Chris Julian Fralish Endowment FundThe R. Parker Griffith Endowment FundThe Philippa M. Guthrie Endowment FundThe Barry S. Hale Endowment FundThe Lee Ann Summers Ingram Endowment FundThe Timothy A. Knowles Endowment FundThe Philip D. Krebs Endowment FundThe Thomas W. (Tom) Mahler, Jr. Endowment FundThe Michael J. McCalip Endowment FundThe Dr. Stephen J. Pritchard Endowment FundThe Joseph E. Roche Endowment FundThe A John Rose Endowment FundThe Josie Seybold Endowment FundThe Sally Sheahan Endowment FundThe Joan C. Sivley Endowment FundThe Brad Smith Endowment FundThe Lieutenant General (Retired) Hubert G. Smith Endowment FundThe George Bullard Stadler Endowment FundThe James E. Sweeten Endowment FundThe Deborah Taylor Tate Endowment FundThe Linda Trader Endowment FundThe Jack Wallace Endowment FundThe David Melby, PhD, Endowment FundThe Dr. Jennifer Bencie Endowment FundThe Tom Johnson Endowment FundThe Carol Zwick Endowment FundThe Dana Oman Endowment FundThe Doug Leonard Endowment FundThe Jonathan Morphett Endowment FundThe Lee Brackett Endowment FundThe Mike Enos Endowment FundThe Reverend James T. Golden Endowment FundThe Steven C. Holman Endowment FundOther Restriction (state/program) NAME (as listed with HR):* First Name Last Name HOW I WOULD LIKE TO BE RECOGNIZED (if different than NAME above, i.e. Robert vs Bob): CENTERSTONE STAFF ID (available in Workday):* ADDITIONAL OPTIONS: I prefer my donation be recognized as "Anonymous" I AM BASED/LOCATED IN THIS STATE:FloridaIllinoisIndianaTennesseeOtherMy base/location state: Billing Address* Street City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Mailing Address Same as Billing Address Street City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Tax Receipt Options Electronic only - emails as entered above. Electronic with paper copy mailed Payment Method* Help by Covering Transaction Fees? Yes, I'll help. Payment Processing Fees Price: $0.00 Payment Processing Fees Price: $0.00 Total Payment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Card Type American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Card Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 CVV Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
