Part of the Rocky Family

Thank you for your interest in becoming a member of the Rocky Family. We will proudly celebrate you as a new member of the family. To complete this form, please select the monthly amount you would like to contribute, and be sure to check the Monthly Payment box at the bottom of the form. Your gift will be charged on a recurrent monthly basis. We would like to publicly recognize your gift on our website, social media, and other publications. If you would like your gift to be made in honor of someone else, or to not be publicly recognized, please let us know in the comment box.

If you would rather submit a physical copy of the form, please use the following downloadable form:

For help with a gift, please contact Kathy Marks at 406-457-7323 or kmarks@rmdc.net.

Thank you in advance for your generous philanthropy. Your gift improves the lives, and strengthens the communities of individuals and families in the Tri-County area.

Donation Amount

1. $30.00
2. $20.00
3. $10.00
4. $5.00
5. Custom Amount
   Custom Amount

First Name (Required)

Last Name (Required)

Email (Required)

Mailing Address (Required)

City (Required)

State (Required)

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Zip Code (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Make this a monthly payment?

1. Yes, charge me today and on the 19th of every following month.

Make this a monthly payment?

Cover the fee associated with this online transaction?

1. Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

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