Print Page | Contact Us | Your Cart | Sign In
Online Donations - Secure Donation Form

Campaign/Fund Information
Campaign/Fund * WFDA PAC Donation
or Select a Different Fund
This Site Secured By SSL Encryption
Donation Information
Donation Amount *
NOTE:
The minimum donation amount is $20.00
The maximum donation amount is $5,000.00
Payment Method *
Donation Type *


Number of Payments *  
I am donating personal funds only *
I certify that the following statements are true and accurate: This contribution is made from my personal funds and is not drawn on an account maintained by a corporation, labor union or national bank; and I am a U.S. citizen or lawfully admitted permanent resident and this contribution will not be reimbursed by another person.
Occupation *
Federal election law requires us to use our best efforts to collect and maintain this information.
Employer *
Federal election law requires us to use our best efforts to collect and maintain this information.
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Billing Phone *

Wisconsin Funeral Directors Association
5329 Fayette Ave
Madison, WI 53713
(608) 256-1757
Fax: (608) 646-7631
office@wfda.info