Please fill out the form below to make an online credit card donation to the Wesley Enhanced Living Foundation.  Fields with an asterisk (*) are required in order to process your transaction.


Or download a "printer friendly" version and mail with your donation to:  Wesley Enhanced Living Corporate Office, 101 East County Line Road, Suite 200, Hatboro, PA 19040, attn: Jeff Petty, President & CEO.



If you selected "Individual":
If you selected "Corporation":
                            If we have a question regarding this donation.

* Is this a joint donation?

If this is a joint donation, please identify the name(s) of joint donor(s):

* Is this donation "In Memory of" a specific person?

If this Donation is "In Memory of" someone, please specify the person's name(s):

              (For immediate e-mail confirmation, please enter your e-mail address above.)

* Please Use My Gift At:

* Please Use My Gift For:

* I Would Like To Contribute:

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Please Inform Me If My Company (Or My Spouse's Company) Has A Matching Gift Program:

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