Donations | The Insight Alliance

First Name

Last Name

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

If you use THE INSIGHT ALLIANCE’ services or purchase additional products periodically pursuant to THE INSIGHT ALLIANCE’ terms, you authorise THE INSIGHT ALLIANCE 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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