NEW HEIGHTS CHURCH COLUMBIA

Secure Payment Form

   
Date
Today's Giving Amount

This amount will be charged today. The amount can be as little as $.01.

Recurring Giving Amount

This is the amount that will be charged based on the schedule you select below.

Schedule
Date of First Recurring Contribution
New Recurring Contribution?
Enable Recurring to Begin?
Total transactions of recurring billing

Ex: Monthly Contribution for 1 year = 12, Weekly Contribution for 1 year = 52, Blank Field = No End Date

Comments

Ex: Budget, Missions, etc.

Name as on Card
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Name as on Check
Bank Routing Number
Bank Account Number
First Name
Last Name
Address
Address 2
City
State
Zip
Phone Number
Email Address