CARD

PAYPAL

It's okay to contact me in the future

about the impact I'm making possible.

Same name on card

We currently accept American Express, Discover, Mastercard, and Visa.

Hidden PayPal Gift Calculation Fields

PayPal One-Time Donation Amount (Hidden & Calculated)

PayPal One-Time Donation Quantity

Monthly PayPal Subscription ID (Calculated)

Giving frequency for donor confirmation form

Calculated Donation Amount with Thousands Separator

Card Calculation Fields

American Express text

Discover text

Mastercard text

Visa text

X to help turn card number into string

Card Number Copy with x at the beginning, for use with card type calculation

Card Type Calculation

Accepted Cards text

Not Accepted text

Card Number COPY, number without any ### for Chargent processor

Card Expiration Date Calculation Fields

Card Expiration Month String (with x at beginning for string conversion)

Card Expiration Month for Chargent Processor

First Two Digits of Card Expiration Year

Card Expiration Year with x for String Conversion

Card Expiration Year for Chargent Processor

Error Message Value for AMEX CVV Error

Incorrect expiration date text

Error Message Value for Non-AMEX CVV Error

Error Message Calculation for AMEX CVV

Invalid CVV length error message

Page 2 Hidden Fields for Calculations

Giving once

Giving $

Giving monthly

per month

Donor's Phone Number, with x at the beginning for string conversion

Donor's Phone Number, Numbers Only Calculation

Mailing Address and Dedication Section

Dedicate my gift in honor or in memory of someone

Honoree First and Last Name Calculation Section (Hidden)

Please Select Your Contribution

1 Child

3 Children

5 Children

7 Children

Give A Different Amount

	Give A Different Amount
OnceMonthly	$ USD After entering your gift amount, press enter or click out of this box to continue.