Secure Payment Form
Gift Amount:
Payment Date:
10/30/24
Gift Amount:
Credit Card Information:
Card Type:
Visa
MasterCard
Discover
Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number(16#’s):
Card Expiration Date:
MMYY (4 Digits only)
Card ID (CVV2/CID) Number:
[
What is the Card ID?
]
Giver Information:
Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Giving Category (Enter Amount):
Tithe:
Offering:
Capital Improvement:
Angel of Grace Campaign:
Other: