Art & Soul 2025 Sponsorship & Donation Form | HAITI PROJECT INC.

First Name

Last Name

This donation is on behalf of a company

Phone

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Address

Address 2

Postal Code

City

State / Province

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CARD PAYPAL BANK TRANSFER

Card Number

MM / YY

CVC Code

The 3-4 digits on the back of your credit card

Billing ZIP Code

Enter the Zip/Postal code for your credit card billing address

By clicking Donate, you authorise VASSAR HAITI PROJECT to debit the bank account that you connect to for any amount owed for charges arising from your use of VASSAR HAITI PROJECT’ services and/or purchase of products from VASSAR HAITI PROJECT, pursuant to VASSAR HAITI PROJECT’ website and terms, until this authorisation is revoked. You may amend or cancel this authorisation at any time by providing notice to VASSAR HAITI PROJECT with 30 (thirty) days notice.

If you use VASSAR HAITI PROJECT’ services or purchase additional products periodically pursuant to VASSAR HAITI PROJECT’ terms, you authorise VASSAR HAITI PROJECT to debit your bank account periodically. Payments that fall outside the regular debits authorised above will only be debited after your authorisation is obtained.

Bank Name

Account Type

Account Last 4

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