Moneris Credit Card Donation

Credit Card Donation

First Name
Last Name
Address
City
Province/State
Postal Code
Country
Phone Number
Email	After payment, we will automatically email you a receipt for tax purposes
Type of Event / Function	General Donation Kirtan Akandhpaath Sehajpaath
Donation Amount	(number format xx.xx)
Include Credit Charge?	We are charged a credit card transaction fee, would you like to include that fee in your donation?
Total Donation Amount