Pledge Form - Stronger Together Campaign

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Stronger Together Campaign: The OECS Emergency Response for Saint Vincent and the Grenadines is an initiative organised by the Organisation of Eastern Caribbean States Commission on behalf of our Member State, Saint Vincent and the Grenadines. Pledges are invited from individuals and corporations across the Caribbean and globally. All funds (100%) raised via this campaign will be directly transferred to the people of St. Vincent and the Grenadines who are affected by the recent and ongoing volcanic eruptions.

This form is designed to obtain contact information for the payment of pledges. You may opt to pay your pledge directly by visiting the online donations page at: https://spurropen.com/StrongerTC For large amounts, please contact us for our wire transfer information.

For questions and queries, please contact us via email at: strongertogether@oecs.int or via telephone at: + 1 758-455-6354 / 758 455 6370 / 758 729 1480 / 758 455 6354 / 767 315 9546 / 758 725 4533

First Name *

Last Name *

Telephone (include area code): *

Alternative Telephone (include area code):

Email Address: *

Confirm Email Address: *

Which category do you fall in?

I am pledging as an "Individual"

I am pledging as an "Organisation"

Clear selection

If pledging as an organisation please indicate the name of your organisation below:

Please indicate your pledge amount in USD here *

How do you wish to pay? *

Wire Transfer

Credit Card (online payment)

Thanks for committing to assist the People of Saint Vincent and the Grenadines.

For questions and queries, please contact us via email at: strongertogether@oecs.int or via telephone at: + 1 758-455-6354 / 758 455 6370 / 758 729 1480 / 758 455 6354 / 767 315 9546 / 758 725 4533

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of OECS Commission. Report Abuse

Forms