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Praise Lutheran Church

Recurring Gift Form (secure)

   
Today's Date
Recurring Gift Amount
Description
Enable Recurring
How often?
How many times do you wish to make recurring gift?

Enter the number of times the gift should be processed (ex. 12) at the selected interval above.

Start Date

Enter the start day in which will be recurring gift will be processed.

Send Recurring Billing Receipt
Please confirm you wish to make a recurring gift
Name as on Card
Card Number
Card Expiration Date
Card Billing Zip
CVV2/CID
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address