The Co-Op 513 : Everything Else! : Donate

Your gifts, both large and small, will help us to achieve our mission of affecting change in our community.

Thank you in advance for your generous support which turns our mission and goals into real life-changing ministry.

Donation Amount (Required)

Donation Type (Required)

First Name (Required)

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Last Name (Required)

Billing Address Line 1 (Required)

Billing Address Line 2

City (Required)

ZIP Code (Required)

Home Telephone

555-555-1234

Email (Required)

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Make this a monthly payment?

Make this a monthly payment?