Donations Order Form

To begin the donation process complete the form below and click "Continue." You are able to review your donation before the final submission process.

Discover Card, MasterCard and Visa are accepted.

Fields with (*) are required. However, a MAILING address is required if you are making a Tax Deductible contribution/donation, and not purchasing any item(s).

Contributions / Donations

I would like to make a one time financial contribution, to the National Dairy Shrine, in the amount of:

To be designated for:


Contact Information

(A confirmation email will be sent to this email address)


Mailing Address

(Required if you are making a Tax Deductible contribution/donation)