Safe Passage Donation Form

Choose a payment option:

Credit/Debit Card

Bank Transfer

First Name

Last Name

Make donation anonymous

Phone

Address

Address 2

Postal Code

City

State / Province

Optionally add to cover processing fees

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Please fix the errors above.

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

If you use SAFEPASSAGE/HOTCHOCRUN’ services or purchase additional products periodically pursuant to SAFEPASSAGE/HOTCHOCRUN’ terms, you authorise SAFEPASSAGE/HOTCHOCRUN 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.

Optionally add to cover processing fees

You can log in to edit your recurring donation any time

One-timeWeeklyMonthlyQuarterly

One-timeWeeklyMonthlyQuarterly