Donation amount:
$
(U.S. Currency)
Is this a new donation, or an update to an existing recurring donation?
*
A new one-time or recurring donation
An update to an existing recurring donation
Complete the entire form and explain the changes below.
500
characters left
To stop your existing recurring donation,
click here
I would like to schedule this donation to occur
*
One-time
Monthly
Quarterly
Start Date:
*
January
February
March
April
May
June
July
August
September
October
November
December
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
2019
2020
Payment Options
*
Credit Card or Check/
Debit Card
Bank Account Transfer
(ACH)
Card Number
Security Code
(CVV2)
Expiration Date
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Account Type
(U.S. Banks Only)
Checking
Savings
Account Number
Routing Number
Your Information
First Name
*
Last Name
*
Billing Address
*
City
*
State
*
AL
AK
AS
AA
AE
AP
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
*
U.S. Phone
(
)
-
Email
*
All donations provided to
Friends Meeting of Washington
comply with U.S.
laws and regulations.
www.quakersdc.org
© Copyright 2019
Friends Meeting of Washington
All Rights Reserved