Teva Learning Center - Donations Page

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Donate by Credit Card

Thank you for your interest in donating to the Teva Learning Center. Please fill out the following information with the address that appears on your credit card bill.

* Required Fields

* First Name
* Last Name
Organization
* Street Address
Address (cont.)
* City
* State/Province
* Zip/Postal Code
Country
Phone
* E-mail

Credit Card Information:

* Name as it appears on a Credit Card
* Credit Card Number	(We can not accept American Express at this time, only Visa or Master Card. Please use the xxxx-xxxx-xxxx-xxxx format)
* Expiration Date (MM/YYYY):	/
* Zip Code on Credit Card Bill:
* Amount of Donation:	$
	Check here if you would like your donation to remain anonymous.

Other Information

Connection to the Teva Learning Center
This donation is in memory of
This donation is in honor of
Additional Comments or acknowledgment letter address

All the above information is for processing the donation only. All information is confidential and will not be sold or used for any purpose besides processing this donation.

If there is an issue with the donation, a message will be emailed to you so the donation can be processed correctly. After it has been processed a receipt will be sent to your billing address.

Please note that the transaction will be processed by Surprise Lake Camp, our parent organization.
A paper receipt will be mailed to your billing address.