World Friendship Fund Donation

Use this form to submit your individual or Unit donations to the World Friendship Fund
* required information
World Friendship Fund Donation
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: Each payment, including the first payment, will be made on day 1 of the month based on the payment frequency you have indicated.
Donor Information
Unit Type:
Unit Number:
Local Council Name:
Headquarter.City:
Certificate Name:
Date Certificate Required:(mm/dd/yyyy)
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Comments:
Payment Information
Payment Method
:*
:*
:*   Explain
Credit Card Type:*
                  
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
:*
:
:*
State:
:
:*
Country:*
Additional Information
Please send certificate to (if different from donor)::
By clicking Submit,
your credit card will be processed


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