Donation - Bill Haley

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Donation Amount:

This is a one time donation

Make this a recurring donation deducted

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

The section below is not required to complete your donation.

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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.