Dwayne Deskins Ministries
Secure Payment Form
Donation Summary
Order Date
Donation Amount
Description
Comments
Recurring Donation Information
One Time or Recurring Donation
One Time
Recurring
Schedule
Monthly
Next Bill Date
Number of payments (* for unlimited)
Send Recurring Billing Receipt
Yes
No
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Billing Information
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address
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