Edit Your Current monthly partnership

Making changes to your current Monthly Partnership is quick and easy. Simply indicate below what change(s) you would like to make and submit. Remember, we can't do what we do without our partner like you...thank you for helping us provide a path out of poverty and into self-sufficiency.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Street Address

City, State and Zip

Credit/Debit Card Number

Name on Credit/Debit Card

Credit/Debit Card Expiration Date

Three-digit CVC Code on back of card

Monthly Partnership Amount

$30

$60

$100

$250

$500

$1000

Other

Other Amount

Which day of the month would you like your donation to be debited from you credit/debit card?

The 1st day of the month

The 20th day of the month

Beginning on which date?

YYYY

If you have a special purpose for your donation, please let us know (optional)

Edit Your Current monthly partnership

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