PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

Donations

A donation is a wonderful way to celebrate a birthday, an anniversary, the arrival of a child or to remember the life of someone who has passed away. Thank you for your donation.

* First Name

* Last Name

Good & Welfare Donation

Discretionary Funds

Donation Amount: $

List Donation as From:

Reason for Donation:

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Donations

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

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