Empire State Ride Donation Form

Please enter your gift to Empire State Ride Long Island 2024 on behalf of Howard Weill.

Gift Information

Field Is Required Select Gift Amount:

$50

$100

$250

$500

Other

Enter amount

Gift type:

One-time gift

Sustaining gift

Select a Gift Duration:

Total Gift: 0.00

Yes, make this an anonymous gift.

Donor Recognition - How YOU would like your donation text to appear on the rider's fundraising page

Yes, you can display the amount of my donation publicly

Personal note for the Empire State Long Island rider (this will not display on the honor roll)