South Central Conference of the United Church of Christ
Secure Donation Form
Summary for Donation
Date
Amount
Comments
Can we add you to our customer database?
Yes
No
The database keeps a record of donors for charitable giving, records for IRS purposes and conference records
Enable recurring donations?
Yes
No
Schedule for recurring donations
Disabled
Daily
Weekly
Biweekly
Monthly
Bimonthly
Quarterly
Biannually
Annually
Total number of recurring donations
Ex: Monthly for 1 yr = 12, 2 yrs = 24, etc
Date of next donation
Designation
Select One
Friends of the Conference
Slumber Falls Camp
Back Bay Mission
Church World Services
CUE Seminaries
Eden Hill Communities
Eden Seminary
The Master's Workshop
Church Development
NIN- Neighbors in Need
OGHS- One Great Hour of Sharing
Strengthen the Church
VOC-Christmas Fund
Whatever is the area of greatest need
Other
Donor's Information
First Name
Last Name
Address
City
State
Zip
Phone Number
Email Address
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Submit