West Central Initiative Endowment Fund

West Central Initiative Annual Operating Fund

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Name in memory or honor of:

Amount

First Name

Last Name

Address

City

State

Postal Code

Country

Additional donor name(s) for tax receipt letter:

Cardholder Name

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Visa MasterCard American Express Discover

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Make this a monthly payment?

Make this a monthly payment?

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged