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Sponsor Amount
$
One Time Donation
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Months
Recurring Donation
-- Select One --
Weekly
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Bimonthly
I would like to cover RCCS's 3% credit card processing fees. My donation total will be $
I WANT TO ANSWER THE CALL
Increase your donation by 100% and pay it over 12 months
yes!
I'd like to increase my donation by 100%
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Personal Information
First Name:
*
Last Name:
*
Company Name:
Address:
*
City:
*
State:
*
-- Select One--
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Zip Code:
*
Country:
*
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Argentina
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Australia
Austria
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Yap
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Phone Number:
*
Cell Phone:
Email Address:
*
Payment Details
You will be charged $
US Currency
Canadian Currency
Credit Card
Check
OJC
Donors Fund
Account Type
*
-- Select One --
Checking
Savings
Routing Number
*
Account Number
*
Card Type:
*
Visa
Mastercard
American Express
Discover
OJC
Donors Fund
Card Number:
*
Exp. Month:
*
-- Select One--
01-January
02-February
03-March
04-April
05-May
06-June
07-July
08-August
09-September
10-October
11-November
12-December
Exp. Year:
*
-- Select One --
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Security Code:
*
Additional Information (optional)
Donation Type
General Donation
In Memory Of
In Honor Of
For The Recovery Of
Name
To have us notify them/their family a gift has been made in their name, please enter an address or email address, and your message below:
Additional Comments:
How Did You Hear About Us?
Sponsored Item:
Please mail a receipt to the address above
(in addition to the receipt I will receive via email).
Personalize your message (optional)
Please add the following comment to the ticker on
's personal page.
(eg: In honor of xxx)
Please display me as anonymous on the ticker at 's personal page.
RCCS is a non-profit 501c3 organization.
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