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PAPAC Monthly Donations

Please fill out the below form to set up a recurring PAPAC donation.

Your donations will process between the 5th of every month for the duration of your donation cycle.

If you have any questions please email Audrey Poole @ info@okpa.org

PAPAC Reocurring Donation Form

Name(Required)

First Last

Email(Required)

Phone(Required)

Occupation(Required)

Employer(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Donation Amount(Required)

Donation Cycle(Required)

Donation Duration(Required)

12 Months

24 Months

Cardholder Name(Required)

First Last

Credit Card Number

Expiration Date

CVC Number(Required)

Signature(Required)