Donation Form.
Your Credit Card Billing Statement Will Read:
BK Media / LivePrayer

For questions concerning past donations,
please,  Email Us
 
 

NOTE: Credit card information is required to ensure your credit card is securely and properly processed.  This information is solely used for the processing of the credit card.

* Denotes required information.

 
Gift Information
 
I want to make a
contribution of:
  $
     (numbers only - no commas)
 
Recurring Gift: NO - I do not want this to be a recurring gift. This is a one-time credit card donation.
  YES - I want to help on a monthly basis. Please charge my credit card the same amount indicated above each month on the 10th of each month.
 
Credit Card Information
 
The address information below must match the address on your credit card billing statement.
* E-mail Address:
A gift acknowledgement will be emailed to this address.
* Name as it appears on Credit Card:
* Address Line 1:
(e.g. 1234 Main St Apt 102)
Address Line 2:
* City:
* State/Province:
* Zip/Postal Code:

(e.g.xxxxx-xxxx)
* Phone Number:

(e.g. xxx-xxx-xxxx)
* Credit Card Type:
3 or 4 digit credit card verification code:

* Credit Card Number:
*  Expiration Date: