Donation - Claire Kelly

Have an account? Click here to log in...

Donation Amount:

This is a one time donation

Make this a recurring donation deducted

End Date:

First Name: Last Name: Email: Phone: Address: City: State: Zip: - Country: Place of Worship

Login

This section is not required to complete your donation transaction.

If you would like to manage your NeonCRM account (i.e., view and print donation history, update profile, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

Billing Information

Payment method: Credit Card
American Express

E-Check Pay Later

Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Pay by Check:

Check the box below if you prefer to send payment by mail.

Payment can be mailed to:

Coracle
2883 Quicksburg Rd
Quicksburg, VA 22847

Please include the purpose, event title, or designation of your payment/donation to the memo line of your check.

I will mail in a check or money order

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.