APRODESO
Online Donations


Your First Name & Middle Initial as it appears on the card
Your Last Name as it appears on the card
Your FULL Name as it appears on the card
Your Passport Number
Street Address
City
State - (Other/Not Listed - Outside USA or Canada)
Zip/Postal code
Country
Home Phone
Fax Number
E-mail: (Check for Accuracy)

Short Description of Services
Comments/Details/Requests

Credit Card Information


Submitting this information authorizes Mary Lingenfelter (on behalf of APRODESO) to charge your credit card the amount you enter below. The amount you enter will be be collected and given to APRODESO as a Donation for ongoing support efforts. Please Remember - The charge will appear on your credit card statement as "Mary Lingenfelter - Alameda, CA"
Card Type:
Transaction Amount: * [Enter as XX.XX] NO $ sign
Card number: * (No spaces or hyphens)
Card Expiration Month
Card Expiration Year


Please click the submit button only once, we do not want to double charge you! After clicking please be patient as this process could take up to 2 minutes to complete. When your order has been processed you will automatically be taken to a confirmation page where you will be asked to print a receipt.  Thank you!



© Copyright 2003-5. Contact: info@aprodeso.org
Order Form Powered by Xelapages.com