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South Dakota District of the Lutheran Church - Missouri Synod

Secure Payment Form for Online Contributions

    
Contribution Date
Contribution Amount
<p>Please enter the contribution amount. </p>
Contribution is Directed to
<p>Please enter where you would like this contribution to be used (ex. TX Flood Relief, General Fund, Native American Ministry, Disaster Relief, President's Mercy Grant, Student Aid for future Church workers, Lay Leadership Institute, Church Worker Education Debt Assistance, Ministry with the Deaf)</p>
Description
<p>Please enter any additional information you would like us to know about your contribution. (ex. in memory of, in honor of)</p>
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
<p>Security code on back of card</p>
Company Name
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address