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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 GRID110.ORG to debit the bank account that you connect to for any amount owed for charges arising from your use of GRID110.ORG’ services and/or purchase of products from GRID110.ORG, pursuant to GRID110.ORG’ website and terms, until this authorisation is revoked. You may amend or cancel this authorisation at any time by providing notice to GRID110.ORG with 30 (thirty) days notice.

If you use GRID110.ORG’ services or purchase additional products periodically pursuant to GRID110.ORG’ terms, you authorise GRID110.ORG 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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