Potrang USA credit card donation

Donation Amount *

Total Amount

I want to contribute this amount every month

Your recurring contribution will be processed automatically. You will receive an email receipt for each recurring contribution.

Email Address *

Credit Card Information

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 Potrang

Consent to process your personal information

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, Potrang will securely store this personal information as required by the regulations.)

To make Puja donation, please use this form.
To make a restricted donation to a specific project or fund (for example a tangra donation), please contact finances@shambhala.org.