Payments

you) you is

Use this form to make any payments due for 1:1 support, consultation and/or training.

If you need a reminder of our current sliding scale and how it works, please visit our Sliding Scale page.

If you would like to make a tax deductible donation instead of or in addition to a payment for a specific support or service, you can do so through our fiscal sponsor HERE!

Although we prefer payments through this form to help us track information, you can also send a check or money order to Roots Up, 1129 Riverdale Rd, #1068, West Springfield, MA 01089. Checks and money orders MUST be made out to our legal name: Wildflower Roots.

Name

First

Last

Group or organization (N/A if not applicable to you)

My payment is for:

Personal support or consultation
Organizational support or consultation
Training
Other

Date(s) of Support/consultation/training you're paying for:

Price (enter the amount you agreed to pay):

Minimum Price: $20.00

Tip (NOT REQUIRED!)

This is a voluntary amount you want to contribute to Roots Up in addition to your payment. The first $10 of any tip will go directly to the person(s) who offered the support/consultation/training. Anything beyond that will be split 50:50 between the person(s) and the organization.

Total

$0.00

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name

Notes or additional information about your payment: