Light Under The Bridge                                 Transforming Tomorrows

Donate by Credit Card

MONTHLY PARTNERS and RECURRING PAYMENT SET UP FORM:

Monthly Partners & Recurring Payment Set Up Form:
  YES I want to set up regularly scheduled recurring donations to be billed to my credit card automatically in support of Light Under The Bridge Homeless Ministry.

MonthlyWeeklyQuarterlyYearly
Bill Funds on This Date Recurring:
Gift Amount:
Type of Credit Card:
Credit Card Number:
Name on Credit Card:
Expiration Date:
3 digit code:
Billing Address:
City:
State:
zipcode:
Phone:
Email:
  Agreement By checking this box, I authorize my credit card to be billed at the regularly scheduled interval & amount listed on this form. 
Comments:
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