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Required Fields
Donation Information
Amount
Type of Donation
One Time Donation
Recurring Donation
Frequency
Monthly
Complete the following fields if this gift is in honor of someone and/or in response to a particular event or campaign.
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Special Notes
Contact Information
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First Name
*
Last Name
Company Name
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Address
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City
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State/Province
*
Zip/Postal Code
Home Phone
Work Phone
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Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Boys & Girls Club of San Dieguito and I will donate $0.00.
No. I will donate $0.00 and Boys & Girls Club of San Dieguito will cover the processing costs.
Credit Card Information
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Card Holder Name
Visa
MasterCard
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American Express
*
Card Account Number
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
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24
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26
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28
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30
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33
34
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Security Code
The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card.
For
American Express
, the Security Code (CID) can be found on the front of the card.
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Billing Address
Same As Above
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Address
City
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Zip/Postal Code
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Email
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