Friends of Colina DeLuz
Secure Payment Form - Recurring Donation
Donation Amount (For donations OVER $1,000 please contact us at firstname.lastname@example.org):
Fund Designation (Please list specifics in the comments box.):
Monthly Child Sponsor
Recurring Donation Information:
You will be charged today and thereafter according to the schedule you create, below.
Next Bill Date (YYYYMMDD)(Leave blank to bill this date next cycle):
Number of payments (* for unlimited):
Name as on Card:
Card Expiration Date:
Card ID (CVV2/CID) Number:
What is the Card ID?
Address Line 2: