RMHC Donate Multi Select

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Providing family housing, meals, and support, just steps away from patient care.

Pay

Amount To Charge

0.0

Your Donation Helps Keep Families Close

$ 10

Gift of Hospitality $10: Provide a welcome bag for a family upon arrival at the House.

$ 75

Share-A-Night $75: Provide a family with a night of lodging.

$ 200

Sponsor-A-Meal $200: Provide a warm dinner for families at one of our Houses.

Custom Gift: Select your own donation amount (min. $10)

Your Donation

Check this box to make this a monthly gift

Check this box to make this a Tribute Gift

Enter the name of your employer/business to check for their match giving program

End search on partial or no match

This gift is Personal or on Behalf of an Organization:

About You

Title

* First Name:

Middle Name:

* Last Name:

Company / Division

Contact Information

* Email:

* Phone Number:

* Country:

* Address:

Apt/Suite/Unit/Other:

* City:

* State/Province:

* Zip/Postal Code:

In the future, it is Ok to contact me by Email

In the future, it is Ok to contact me by Mail

In the future, it is Ok to contact me by Phone

It is Ok to contact me for future donations

How to you wish to pay?

* Name on Credit Card:

* Card Number:

* Type:

* Month:

* Year:

* CVV:

What is a CVV Code?

CVV Code is a security code used to protect your credit card and prevent fraudulent use.

Visa/MasterCard/Discover

The CVV Code is the last 3 digits immediately after your credit card number on the back of your card.

The CVV Code is located within the signature panel.

American Express

On American Express cards the CVV Code is the 4 digits above and to the right of your credit card number on the front of your card.

Amount To Charge

I'd like to help cover a portion of processing fees

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Acceptance

Your request will be processed. Do you want to continue?

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My RMHC Chapter
123 Nonprofit Lane
Give City, State 12345
info@yournpo.org

Demo Credit Card
Visa 4007000000027 CVV 111
Exp any date after today

Demo eCheck
John Doe
Routing 121141754
Acct: 7687245428
Type: Checking

Max USD100

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