Birdies for Charity Donation Form Charitable GivingI would like to make a gift of(Required) Payment for(Required)— Select —Age ConcernBermuda Arts Centre at DockyardBermuda Cancer and HealthBermuda Center for Creative LearningBermuda Diabetes AssociationBermuda Institute of Ocean SciencesBerkeley Institute PTSABermuda National GalleryBermuda National TrustBermuda Optimist Dinghy AssociationBermuda Red CrossBermuda Squash Racquets AssociationBermuda Sailors HomeBermuda Scout AssociationBermuda Underwater Exploration InstituteChrist Church Feeding ProgrammeCoalition for the Protection of ChildrenCURBDelta Sigma Theta Sorority, Inc.Duke of Edinburgh’s International Award, BermudaEndeavourFocusFriends of HospiceFriends of the Bermuda LibraryGina Spence ProductionsHabitat for HumanityHomeKeep Bermuda BeautifulKiwanis Club of HamiltonLiving Reefs FoundationMSA FoundationNational Museum of BermudaPALSPathwaysPhenomenal PeopleRaleigh BermudaSaltus FoundationScout Association of BermudaSt George’s FoundationSt George’s Historical SocietyTomorrow's VoicesVision BermudaWarwick AcademyWestern Stars Sports ClubWindReachAdditional Giving (if any)Payment for— Select —Age ConcernBermuda Arts Centre at DockyardBermuda Cancer and HealthBermuda Center for Creative LearningBermuda Diabetes AssociationBermuda Institute of Ocean SciencesBerkeley Institute PTSABermuda National GalleryBermuda National TrustBermuda Optimist Dinghy AssociationBermuda Red CrossBermuda Sailors HomeBermuda Squash Racquets AssociationBermuda Scout AssociationBermuda Underwater Exploration InstituteCURBChrist Church Feeding ProgrammeCoalition for the Protection of ChildrenDelta Sigma Theta Sorority, Inc.Duke of Edinburgh’s International Award, BermudaEndeavourFocusFriends of HospiceFriends of the Bermuda LibraryGina Spence ProductionsHabitat for HumanityHomeKeep Bermuda BeautifulKiwanis Club of HamiltonLiving Reefs FoundationMSA FoundationNational Museum of BermudaPALSPathwaysPhenomenal PeopleRaleigh BermudaSaltus FoundationScout Association of BermudaSt George’s FoundationSt George’s Historical SocietyTomorrow's VoicesVision BermudaWarwick AcademyWestern Stars Sports ClubWindReachAmount 2 Payment for— Select —Age ConcernBermuda Arts Centre at DockyardBermuda Cancer and HealthBermuda Center for Creative LearningBermuda Diabetes AssociationBermuda Institute of Ocean SciencesBerkeley Institute PTSABermuda National GalleryBermuda National TrustBermuda Optimist Dinghy AssociationBermuda Red CrossBermuda Sailors HomeBermuda Squash Racquets AssociationBermuda Scout AssociationBermuda Underwater Exploration InstituteCURBChrist Church Feeding ProgrammeCoalition for the Protection of ChildrenDelta Sigma Theta Sorority, Inc.Duke of Edinburgh’s International Award, BermudaEndeavourFocusFriends of HospiceFriends of the Bermuda LibraryGina Spence ProductionsHabitat for HumanityHomeKeep Bermuda BeautifulKiwanis Club of HamiltonLiving Reefs FoundationMSA FoundationNational Museum of BermudaPALSPathwaysPhenomenal PeopleRaleigh BermudaSaltus FoundationScout Association of BermudaSt George’s FoundationSt George’s Historical SocietyTomorrow's VoicesVision BermudaWarwick AcademyWestern Stars Sports ClubWindReachAmount 3 Total Credit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Donor DetailsFirst Name(Required)Last Name*(Required)Email(Required) Phone(Required)Address Street Address City State/Parish Zip Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina 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