EVANGELICAL FREE CHURCH OF SIDNEY
Secure Payment Form - Recurring Donation

 
Donation Summary:
Order Date: 03/28/24
Donation Amount:
Fund Designation:
Comments:
           
Recurring Donation Information:
Schedule:
Next Bill Date (YYYYMMDD):
Number of payments (* for unlimited):
     
   
           
Card Information:
Card Type:

Name as on Card:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
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Billing Information:
First Name:
Last Name:
Address:
Address Line 2:
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