Questions? Click here to reach someone from our organization.

 

Your Gift

$25

$50

$100

$250

$500

$750

$1,000

Other

$

Please enter a payment amount.

Yes, I would like to include the additional processing fee with my payment. Total amount:

I would like to make my payment anonymously.

To make a gift by check, please mail it to the address below:

Senior Services Inc. 
Attn: Development
2895 Shorefair Drive
Winston-Salem, NC 27105

Include an Honor/Memorial Designation to recognize someone special to you.

Matching Gifts | If your employer matches gifts, please let us know in the Additional Comments section below. Note that you will need to follow your employer's process to generate the matching funds distribution.

Your Contact Information

First Name *

Last Name *

Business Name

Email *

Phone

Address Line 1 *

Address Line 2

City *

State * Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip *

Honor/Memorial Information

In Memory of (honors an individual who has passed away)        In Honor of (marks a special occasion for a friend or family member)

In Memory of

Honoree Name

Special Occasion Birth Birthday Graduation Retirement Wedding Other

Other Occasion

If you would like us to notify someone of this gift, please provide full name and address for the individual that you want to be notified below:

Designated Contact Name

Address Line 1

Address Line 2

City

State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip

Designated Contact Email

Designated Contact Phone

Your Payment Method

Your Billing Information

 My billing information is the same as my contact information.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State * Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip *

Your Payment Information

Please click here to enter your credit card information.

Credit Card Information Entered.
Please click here if you wish to enter a different credit card.

Additional Comments

Google reCAPTCHA

Please check "I'm not a robot" box above.

Submit

© 2026 - Senior Services, Inc.. All Rights Reserved. Powered By Charityproud