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Centurion Foundation Donations

Centurion Foundation Donation

CENTURION FOUNDATION DONATION FORM

Make a gift to The Centurions and invest in our Community. The Centurions support our Community’s most underserved children and their families in the areas of healthcare, education, and mentoring.
Your Gift
Other gift amount
Donation Frequency
Donation Source

Tribute Information (Optional)

Pay tribute to or honor a friend, associate, or loved one through your support of a cause important to them.
This gift is:
Letter Recipient
Letter Recipient
First
Last
Letter Recipient Address
Letter Recipient Address
City
State/Province
Zip/Postal

Billing Information

Name on the Card
Name on the Card
First
Last
Billing Address
Billing Address
City
State/Province
Zip/Postal
Total Amount to be charged

Credit Card

Acknowledgement

I hereby authorize your company to charge my credit card and confirm that the information for the credit card and billing address is complete and accurate.
I have been informed that I can cancel the recurring payment at least 15 days before the payment by phone or signing a consent form provided by the merchant company.
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