Donate to the Chaplaincy Fund

Please use the following form to make your donation. The fields marked with an asterisk (*) are required.

Make a Donation

Donation Amount: * $ ($15 minimum)

Personal Information

Company:

First Name: *

Last Name: *

Primary Phone: *

Email Address: *

Date of Birth:

JF&CS uses a secure payment gateway to process your transaction and does not retain your payment information.

Billing Information

Credit Card Type: * Visa MasterCard Discover American Express

Credit Card Number: *

Expiration Date: * (MMYY)

Security Code: * (This is the 3 digit code on the back of your card.)

Address: *

City, State, Zip: * ,

Please add 2% to my total to cover the cost of this credit card transaction.

Your total: $