Website Donation Form | Next Generation Men & Women

Choose a payment option:

Credit/Debit Card

Bank Transfer

First Name

Last Name

This donation is on behalf of a company

Phone

Address

Address 2

Postal Code

City

State / Province

Employer

Occupation

Will your employer match your gift?

How did you hear about Next Gen?

Birthday (Month / Day)

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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.

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

If you use NEXT GEN MEN & WOMEN’ services or purchase additional products periodically pursuant to NEXT GEN MEN & WOMEN’ terms, you authorise NEXT GEN MEN & WOMEN 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.

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You can log in to edit your recurring donation any time

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