Secure Donation Form

To process your donation using Visa, MasterCard, American Express, or Discover, please fill in the secure order form below with the requested information exactly as it appears on your monthly bankcard statement.
 

Billing Information - Exactly as it appears on your Credit Card

Donor Prefix:
Donor First Name:  *
Donor Middle Initial:
Donor Last Name:  *
Suffix (eg: Jr,Sr,II):
Billing Address:  *
Apartment or Suite:
Billing City:  *
Billing State or Province:  *
Billing Postal/Zip Code:  *
Billing Country:  *
Day Time Phone Number:
Mobile Phone Number:
Credit Card#:  *
Expiration Date:  *
Card Verification Value:   *
E-Mail Address:  *
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Donation Information

Donation Amount Be the first of 40 to give 40 dollars a month - $40.00
One Time - $100.00
One Time - $500.00
 Other: 
Recurring: Make this a one-time donation
Make this a recurring donation.
Designation
Options: I prefer to make this donation anonymously
Additional Information
   Maximum of 210 Characters
Characters not allowed: %, &, #, <,>
 
* = Required Field

This transaction is being processed by Project Understanding using Secure Socket Layer (SSL) Encryption.