Planned Giving Intention

Thank you for choosing to support the YMCA. Please fill out the following information to let us know how you'd like to give to the YMCA of Southeastern NC.
Contact Information
Name
Date of Birth
Address
City
State
Zip
Phone
Email
How I Would Like My Gift Recognized May be anonymous, include family members or those who have passed.
Recognition Name
I would like my donation to remain anonymous
Area of Support
Please select your YMCA branch (if applicable) Nir Family YMCA Midtown YMCA YMCA Youth Services YMCA Camp Kirkwood To the Greatest Area in Need
Payment Type
Please select your payment type Payment Mailed Invoice Option Credit Card Option