Donation Form | Chair-ity, Inc

Choose a payment option:

Credit/Debit Card

Bank Transfer

First Name

Last Name

Phone

Address

Address 2

Postal Code

City

State / Province

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By using Apple Pay, you will provide your name, e-mail and address.

By using Google Pay, you will provide your name, e-mail and address.

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

If you use CHAIR-ITY’ services or purchase additional products periodically pursuant to CHAIR-ITY’ terms, you authorise CHAIR-ITY 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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