Beneficiary Partners Donation Only Designation

(Please Note: The Designation Process is an additional step which is why we will be asking you to give us your contact information in both places. Thank you for your efforts!)
*First Name:
*Last Name:
*Phone Number:
(with area code)
*Email Address:

* indicates a required field
Distribute the funds you donate among one, two, or three of the organizations below by checking the box next to the organization (s) of your choice OR you may choose to distribute the funds you donate equally among all organizations by selecting Distribute donation equally among all groups.
Distribute my donation to one or more of the
following organizations:
Big Brothers Big Sisters of Kentuckiana
The Center for Women and Families
Girl Scouts of Kentuckiana
Maryhurst
Mom’s Closet Resource Center
Project Women
UofL Athletics
UofL Women’s Center/PEACC Program
West Louisville Girls Choir
Women 4 Women
Distribute donation equally among all groups