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South Central Conference of the United Church of Christ

Secure Form

       
Date
Amount
Comments
Can we add to customer database?
The database keeps a record of donors for charitable giving, records for IRS purposes and conference records
Enable Recurring Donations?
Schedule of recurring donation
Total number of recurring donation
Date of next donation
Designation
First Name
Last Name
Address
City
State
Zip
Country
Phone Number
Email Address
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID