Support the Ministry of Staff in 2023 - Life Action

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Support the Ministry of a Staff Member

Donation Information
Staff Member*
Amount*
- $50
- $100
- $250
- $1000
- Other
Other Amount*
Frequency*
- Special Gift
- Monthly Gift (Recurring)
Note: Your first gift will be charged today. Your next recurring charge will be on the 14th of next month.
Would You Like to Support Another Staff Member?
Second Staff Member Yes or No*

Second Staff Member to Support
Staff Member*
Amount*
- $50
- $100
- $250
- $1000
- Other
Other Amount*
Frequency*
- Special Gift
- Monthly Gift (Recurring)
Note: Your first gift will be charged today. Your next recurring charge will be on the 14th of next month.
Would You Like to Support Another Staff Member?
Third Staff Member Yes or No*

Third Staff Member to Support
Staff Member*
Amount*
- $50
- $100
- $250
- $1000
- Other
Other Amount*
Frequency*
- Special Gift
- Monthly Gift (Recurring)
Note: Your first gift will be charged today. Your next recurring charge will be on the 14th of next month.
Would You Like to Support Another Staff Member?
Third Staff Member Yes or No*

Fourth Staff Member to Support
Staff Member*
Amount*
- $50
- $100
- $250
- $1000
- Other
Other Amount*
Frequency*
- Special Gift
- Monthly Gift (Recurring)
Note: Your first gift will be charged today. Your next recurring charge will be on the 14th of next month.
Would You Like to Support Another Staff Member?
Third Staff Member Yes or No*

Fifth Staff Member to Support
Staff Member*
Amount*
- $50
- $100
- $250
- $1000
- Other
Other Amount*
Frequency*
- Special Gift
- Monthly Gift (Recurring)
Note: Your first gift will be charged today. Your next recurring charge will be on the 14th of next month.

Your Information
First Name*
Last Name*
This Gift is From:*
- Give as an Individual
- Give as an Organization
Name of Organization or Company Making the Donation
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Payment Information
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Would You Like to Leave a Note or Comment?
- Yes
- No
Comment
Total Donation Amount:
$0.00
Note: For recurring gifts, your first gift will be charged today. Your next recurring charge will be on the 14th of next month.
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Life Action is a 501(c)(3) non-profit organization. All qualified gifts received are tax deductible and are given with the understanding that

Life Action has complete discretion and control over their use.

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