Friends of Dusty Pierpoint - Online Contributions by eFundraising Connections

1 Contribution Have an eFundID? Login

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$ Other

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Iterations

This recurring donation will process on 24th of every month.

2 Personal Information

Phone

First Contributor

First Name

Last Name

Company Name

Second Contributor

First Name

Last Name

Joint Address

Address

City

State

Zip

First Contributor

I am retired

Employer

Occupation

If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'

Employer City

Employer State

Second Contributor

I am retired

Employer

Occupation

Employer City

Employer State

3 Payment Method

Credit Card Number

MM/YY

Security

Your credit card verification code (CVC) is a 3 or 4 digit number. It can be found on the back of your card.

My credit card address is different than my home address.

CC Zip

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Comment

Apple Pay is for individual contributions only. Contribute by credit card for corporate or couple donations

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Please input a value between $1.00 and $1000.00

Iterations may not exceed 32000

Total recurring amount plus merchadise may not exceed $1000.00. Please reduce the number of iterations, or reduce the payment amount.

Time span must not be past credit card's expiration date

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Iterations must be a number greater than 0

Total donation amount may not exceed $1000.00. Please reduce the number of iterations, or reduce the payment amount.

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Weeks

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Years

PayPal accepted

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Apple Pay accepted

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