Payment Type

Credit CardBank Account

Gift Amount $

First Name

Last Name

Email

Phone Number

Street Address

City

State

Zip/Postal Code

Credit Card Information

Card Number

CVV Code

Bank Information

Name on Account

Name of Bank

Bank Routing Number

Bank Account Number

Account Type

I would like to receive a paper acknowledgement for this gift.Acknowledgements will be sent via email unless otherwise requested.

Comments

If you prefer to mail a check, please make it out to "Friends General Conference" and send to:

PO Box 40844
Philadelphia, PA 19107

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