Gravity Payments

Secure Payment Form

Gift Amount:

Payment Date:

05/22/25

Gift Amount:

Credit Card Information:

Card Type:

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:

40 For 40 Social Media campaign:

40 For 40 referred by:

Other: