Donations Form
This form allows you to safely make a donation to the PRVFD using a credit card of your choice.
Name:
Street Address:
City, State, Zip: ,
Phone: Day Evening
E-Mail:
What amount would you like to donate?
Total authorized to charge your card
A $3 processing fee has been added to your order.
Payment Type MasterCard Visa Discover
Credit Card number Exp:
This form operates in a Secure environment.
Sensitive data is encrypted for the protection of our valued constituents.
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