Fax Donation Form

Fax Donation Form

Fax Transmittal
Understand The Times, International
(714) 957-3899 Fax Number

Name On Credit Card: ___________________________

Credit Card Billing Address: ___________________________

Type Of Credit Card: ___________________________

CVS Code: ___________________________

American Express = 4 Digit Code on the front

Other Cards = 3 Digit Code on the Back

One Time Donation Amount: ___________________________

Purpose of Donation: ___________________________

Regular Monthly amount: ___________________________

Purpose of Donation: ___________________________

Signature: ___________________________