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PAPAC Recurring Donations

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

Your donations will process between the 1st and 10th of every month for the duration of your donation cycle.

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

PAPAC Recurring 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(Required)

Expiration Date (00/00)(Required)

CVC Number(Required)

Signature(Required)