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Charge Card
Enter organization EIN
Organization Name
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Amount
One-time
Date of Charge
Weekly
Start Date
Number of Payments
Un-Limited
Bi-Weekly
Start Date
Number of Payments
Un-Limited
Monthly
Start Date
Number of Payments
Un-Limited
Bi-Monthly
Start Date
Number of Payments
Un-Limited
Name on Card
Card Number
Expiry Date
CVV Code
Notes
Email receipt
Email
Total
$0.00
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