CDR Donation | Appomattox Community & Disaster Relief Organization

First Name

Last Name

Make donation anonymous

This donation is on behalf of a company

Phone

Choose your country

Address

Address 2

Postal Code

City

State / Province

Employer

Occupation

Please fix the errors above.

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

If you use APXDISASTERRELIEF’ services or purchase additional products periodically pursuant to APXDISASTERRELIEF’ terms, you authorise APXDISASTERRELIEF 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

Donate from your bank using Plaid, a secure and encrypted bank transfer service.

Create a donor account to manage my donations and donate again faster.

Optionally add to cover processing fees

You can log in to edit your recurring donation any time