WaterWatch of Oregon Secure Online Donation Form


Secure Online Donation Form


Donor Information

Please note that fields with an asterisk (*) are required.

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
Province:  *Country: 
*Zip Code/Postal Code:  *Email: 
*Phone/Ext: 

                         Donation Frequency: Donation Amount $:
 One-Time
 Monthly
 Quarterly
 $35
 $50
 $100
 $200
 $300
 $500
 $1,000
 $2,500
 Other amount - Use box
     $  .00


Please check that all of your contribution information is correct.
All contributions to be made in US funds
You can use a Visa or a MasterCard

            *Credit Card #: 
*Exp. Date:  /

I would like to direct this contribution to a specific fund:
If this gift is made in memory/honor of someone please provide name:

Help us reduce paper and postage costs. Have your thank you letter sent by mail.  Yes   No 


After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the Submit button will result in duplicate charges to your account.
An email confirmation will be sent to the email address you provided.


 

  
WaterWatch of Oregon
213 SW Ash, Suite 208
Portland, OR 97204
More Information Email: Water Watch of Oregon
Ph: 503-295-4039 | Fx: 503-295-2791



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