Christ Chapel Monthly Donation

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Note: for addresses in foreign countries, if you do not have a State or Province to provide, please re-enter your city in the State/Province field.

Phone*

Email*

Gift Designation

Amount of your monthly donation* $

Your gift will be proxessed each month.

Credit Card*

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