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St. John's Lutheran Church

Secure Donation Form

Donation Date
Donation Amount
Donation Category
Donation Category
Enable Recurring
Donation Amount
Schedule
Total Number of Recurring Donations
Date of First Recurring Donation
Send Recurring Donation Receipt
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
First Name
Last Name
Address
Address 2
City
State
Zip
Phone Number
Email Address