Loyal Donor/ Contributor Form
Please choose anyone of the following as convenient:
a) Credit Card through paypal b) auto debit through bank c) e-transfers interac to firstname.lastname@example.org
a) For monthly payments through credit card or if you do not want to share your bank information click donate link, enter an amount $20 or more and check the box "Make this monthly donation" using your paypal account.
Please enter you banking information in the following fields to setup monthly subscription/ contribution.
NOTE: For monthly recurring payments using "Donate" button you need a paypal account, however, you can choose to make one time payment for 12 months contribution using card and email to email@example.com with details.
Do not forget to press SUBMIT button after completing the form.
Signature (Type your full name below)