Single (One-Time) Donation
Recurring Monthly Donation
Pay it Forward
In Memory of Nancy MacDougall
Monthly - Monthly same date
Number of Installments
Payment Start Date
Use this space if you would like your donation to be processed on a specific date. Leave blank to process donation within 24 hours.
Payment End Date
Use this space if you would like your recurring donation to end on a specific date. Leave blank to set up an open ended recurring donation. This can be updated at any time.
if Payment set to stop after a specified number of instalments, specify that number here.
Total Balance of Donation (Pledged Amount)
Please enter the total amount of your donation here. Donations in the amount listed at the top of this form will be made as per the Payment Frequency (installments) until this total amount is achieved.
TransactionCount = default 48 months
Is this a Personal Donation or a Corporate Donation?
This donation is from me
This donation is from my company
Donor Company Name
Donor First Name
Donor Last Name
Donor email address
Billing Street Address
Credit Card Number
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Card Expiration (Month)
Card Expiration (Year)
Full Name (as appears on card)
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