Household of Faith Church
Secure Payment Form
Giving Summary:
Giving Date:
03/29/24
Initial Gift Amount:
Customer IP:
44.204.196.161
Recurring Payment Information:
Schedule:
daily
weekly
biweekly
monthly
bimonthly
quarterly
biannually
annually
Recurring Amount(if different from initial gift amount):
Start date("next" for this charge to be the first payment on the selected schedule):
Number of payments(* for unlimited, this payment does not count towards the total):
Credit Card Information:
Card Type:
Visa
MasterCard
American Express
Discover
Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date:
MMYY
Card ID (CVV2/CID) Number:
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What is the Card ID?
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Billing Information:
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Country:
Phone Number:
Email Address: