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Pilgrim Lutheran Church

Secure Recurring Donation Form

    
Donation Date
Recurring Donation(s) Amount

Enter Recurring Amount To Be Donated

Select Recurring Schedule
Start Date of Donation(s)

Start date. Default is next day. Must be entered in YYYYMMDD format.

Enable/Begin Recurring Donation Schedule
Total number of transactions left in billing cycle

Send Recurring Billing Receipt
Checking
Bank Routing Number
Bank Account Number
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Company Name
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address