Senior Advisory Council : Donation Funds : Rocky Mountain Development Council

Donation Amount

$100
$50
$25
$10
other

If "Other" please use "Other Amount" field

Credit Card Information

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Visa MasterCard American Express Discover

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Make this a monthly payment?

Yes, charge me today and on the 22nd of every following month.

Make this a monthly payment?

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Other Amount

First Name

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City

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Comments

We would like to celebrate you as one of our donors. Can we use your name, donation amount, and comments for publications? This could include for our website, social media, and print publications.

YES!
No I would like to remain anonymous.

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Senior Advisory Council

Credit Card Information

Neighborhood Center and Helena Senior Center

Rocky Head Start

Jackson Street Center

Rocky's Agency on Aging