Secure Payment Form
Contribution (* REQUIRED) Please Specify Giving Categories Below
Payment Date:
09/25/23
*Total Contribution:
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:
[
What is the Card ID?
]
Giver Information:
Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Giving Category (Enter Amount):
Tithe:
Offering:
Capital Improvement:
Other: