Recurring Gift  

This form allows you to set-up a recurring donation on the 15th of each month using your credit card.

If you would prefer not to use the online form with your credit card information or would rather donate via an automatic bank debit (we are required to collect an actual signature) please use the form available online Here.

If you have any questions about this form or supporting Prairie please contact us at development@prairie.edu or give us a call at (403)443-5511 and ask for Donation Processing.

(Items in Bold below are required.)
Donation Information
 
Monthly Donation Amount:
Beginning on the 15th of:
(or 1st business day after)
/
Ending on (optional): /
Applied to:
Other:
 
Contact and Receipting Information
 
Full Name:
Email:
Phone:      Ext.
Address:
City:
Prov./State:
Post/Zip Code:
Country: (if address is outside No.America)
 
Comments or Special Instructions
 
 
Credit Card Information
 
Name on Card:  
Card Type:  
Card Number:  
 Expiration:  
CVN/CVV2:  
(what is this?)   
  (optional)




   
 

Prairie Bible Institute
Box 4000
Three Hills, AB T0M 2N0
1-800-661-2425

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