Donation Form

* Required Fields

One-Time Gift

Amount

Gift Designation

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Contact Information
* First Name
* Last Name
* Address
* City
* State
* Zip/Postal Code
Country
Home Phone
Mobile Phone
Foreign Phone
* Email

Payment Information
Payment Options

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
Security Code Click here for CVV2 information 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.

Billing Address
Same As Above
* Address
* City
* State
* Zip/Postal Code
Email

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Designated Gifts Policy
Our policy is that all gifts designated for a specific project be applied accordingly. We occasionally receive more funds than can be used for the designated project. In those instances, we use those funds to meet other pressing needs within the Ministry.

Tax Deduction Information

Pure Life Ministries is a non-profit 501c3 corporation, id #68-0095964. All gifts are tax deductible.

Contact Us
Pure Life Ministries | 14 School St | Dry Ridge KY 41097
(888) 740-8819 | [email protected]