Great Stupa project – USA credit card donation

Great Stupa project - USA credit card donation

Donation Amount $ *

Total Amount

I want to contribute this amount every month

Email Address *

Donation Campaign

Campaign should be set automatically. Please change it ONLY when it does NOT fit your intention.

Campaign *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

User Consent Shambhala

Donor Comments

Consent to process your personal information(Contribution)

I give permission for the personal information in this form to be collected so my transaction can be processed. (In order to provide a tax receipt for your donation, Shambhala will securely store this personal information as required by the regulations governing charities.)