Donation Form

St. Merkorious Charity / Donation Form

$ Donation Amount:

Select Payment Method

Offline Donation
Stripe - Credit Card

Personal Info

First Name *

Last Name

Is this donation on behalf of a company?

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Yes

Company Name

Email Address *

Comment

Credit Card Info

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Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $50.00