Local Dues | Democratic Socialists of America - Long Beach

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

If you use DSA LONG BEACH’ services or purchase additional products periodically pursuant to DSA LONG BEACH’ terms, you authorise DSA LONG BEACH 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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