BAND OF BROTHERS - DONATION
Your Donation will make a difference
Donation
Amount
$50.00
$75.00
$100.00
$250.00
$500.00
Type of Donation
One Time Donation
Recurring Donation
Frequency
Monthly
Quarterly
Annual
Message to the Ministry (optional)
Contact Information
Title (Mr/Ms)
Mr.
Mrs.
Ms.
Miss
First Name
Last Name or Organization
Company Name
Address
City
Province
Alberta
British Columbia
Manitoba
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Northwest Territories
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Nunavut
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Quebec
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Arkansas
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Ohio
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Puerto Rico
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Tennessee
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Utah
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Virginia
Washington
Washington DC
West Virginia
Wisconsin
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Postal Code
Phone
Other Phone
Email
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Help Us Cover Costs
Please choose one of the options below:
Yes! I want $0.00 to go to One Way Ministries and I will donate $0.00.
No. I will donate $0.00 and One Way Ministries will cover the processing costs.
Payment Information
Payment Options - 2 choices
Automatic Withdrawl -Bank Account
Credit Card
Account Information
Account Holder Name
Account Type
checking
savings
Bank Account Number
Bank Transit # (5 digits)
Bank Institution ID # (3 digits)
Billing Address
Same As Above
Address
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Other
Postal Code
Country
Canada
United States
Email
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