One Time Donations | Asclepius Snakebite Foundation

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First Name

Last Name

This donation is on behalf of a company

Address

Address 2

Postal Code

City

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One-time

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CARD PAYPAL BANK TRANSFER

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

If you use SNAKEBITE FOUNDATION’ services or purchase additional products periodically pursuant to SNAKEBITE FOUNDATION’ terms, you authorise SNAKEBITE FOUNDATION 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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One-time