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This is an example of Credit Card Submittal Form. This document is useful for conducting Credit Card Submittal Form.
Donation and/or Credit Card Submittal Form May only be used for gifts of $50 or more. Please complete the information requested below to charge your Oaks Foundation contribution to your credit card. Fax this form to 330 938-7406 or return it in the mail to: John Stilts, Administrator, The Oaks Foundation, 715 S. Johnson Road, Sebring, OH 44672-1709. Title: First Name: Middle Initial: Last Name: Spouse's Name: (if a joint contribution) As it appears on your credit card billing statement Address: City: Postal Code: Country: Daytime Telephone This Gift Designated for: The Oaks Foundation Please use my gift for( ex. Life Care Support)___________________________ Amount of Gift $ (U.S. Currency only) Please Charge My Gift to: Visa, Mastercard, Discover, American Express Name on the Card: Credit Card Number: Expiration Date: Example: 05/07 Honor or Memorial Designations/Comments:
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