B"H Please complete this form to make a payment or donation to Chabad UMC. Please indicate the purpose of your donation or payment. For Crypto Currency Donations Please Click Here Name* Email address* Cell phone #* Street Address City, State, Zip Purpose of donation/payment* I would like to donate this amount:* $54$100$180$360$500$1000$1800$3600$5000 Yes, I'd like to make this a monthly recurring payment. Comments Total $0.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Method* Credit Card Paypal Check or Credit Card on file Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card 1 - January 2 - February 3 - March 4 - April 5 - May 6 - June 7 - July 8 - August 9 - September 10 - October 11 - November 12 - December Expiration Month 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Expiration Year Paypal has been selected. Payment will take place on the next page. We will automatically use your cc info in our system. If you prefer to send a check, please note this in the "Payment Instructions" box. Payment Instructions Submit Clear Form Should be Empty: This page uses TLS encryption to keep your data secure.
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