Friends Meeting of Washington Secure Online Payment Form

Event Rental Form

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

*Payment amount:   $ 

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*ZIP Code:  *Email: 
*Daytime Phone #:  Evening Phone #: 


 Credit Card   Check 
If by Credit Card: If by E-Check:
*Credit Card Type: 
*Credit Card #:  *Routing #: Where do I find this?
*Exp. Date:  / *Checking Account #: Where do I find this?


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.

 

  
Friends Meeting of Washington
2111 Florida Ave., NW • Washington, DC 20008 • phone: 202-483-3310 • fax: 202-483-3312
www.quakersdc.org


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