|
All
donations made in the United States are tax-exempt under Section
501 (c) (3) of the Internal Revenue Service.
|
I wish to donate: |
|
for family $ per month.
|
|
Please provide
the following details, fields with a
red asterisk
(*)
are compulsory for US only.
|
|
* First
Name
|
|
* State
|
|
|
* Last
Name
|
|
Other
|
|
|
* Address Line1
|
|
* Country
|
|
|
Address Line2
|
|
* Phone
|
|
|
* City
|
|
* Email-id
|
|
|
* Zip
code
|
|
|
|
Credit Card details: |
| *
Card
type: |
|
| *
Card
Number: |
|
|
* Card verification number |
|
|
Credit card verification number for
Master/Visa Card: This is a 3 digit number and can be found at
the back of your credit card besides the card number.
Credit card Verification number for
American Express cards: This is a 4 digit number printed on the
front side of your credit card beside the card number. |
| *
Expiry
Date: |
|
|
Bill my credit
card every month.
Bill
me every |
