Achiezer Community Resource Center :: Rayze.It Donation Form by Duvys Media

Personal Information

first name *

last name *

add company name please display my name differently on the scroll.

Address

City

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Phone

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Email *

Payment Details

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Organization Legal Name
Achiezer Community Resource Center

Tax ID: 27-4592919
Achiezer is a non-profit 501c3 organization

Your card will be charged $

Card Number *

Exp. Month*

Exp. Year *

cvv *

Add Personalized Message
This will be posted on the recent donation scroll

Please credit my donation

In Memory Of
In Honor Of
For The Recovery Of

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Additional Comments:

Please mail a receipt to the address above

(in addition to the receipt I will receive via email).

Only enter this field if you were told to do so by a staff member.

Tax ID: 27-4592919
Achiezer is a non-profit 501c3 organization

THANK YOU!

Though our goal has been met, please continue to give to enhance more children’s summers.