Tax Credit - Demo 1

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Thank You For Your Gift

Brighter Way is a Qualifying Tax Credit Organization (QCO # 20880). Donations may be applied as tax credits on your Arizona state income tax. Please consult your tax advisor for qualification information. Read More...

Your Gift

$ 50

$ 250

$ 470

Individual Tax Credit Amount

$ 938

Couple filing jointly tax credit amount

Other

Your Donation

Check this box to make this an Ongoing Monthly donation (optional)

This gift is Personal or on Behalf of an Organization:

About You

Title

* First Name:

Middle Name:

* Last Name:

* Email:

Company / Division

* 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

Your Payment

Credit card

* Name on Credit Card:

* Card Number:

* Type:

* Month:

* Year:

* CVV:

Amount To Charge

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FOOTER: Footer Title, Footer Descriptions

* This message is only visible in administrative mode

Demo Emails: <first><last>@no-email.info

Demo Credit Card

Visa 4007000000027

CVV 111

Expiration: any date after today

Demo eCheck

eCheck: John Doe

Routing 121141754

Acct: 7687245428 / Type: Checking

Max USD100

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