This form allows you to pay by credit card
You may also pay by check sent to Companis:
1111 Harvard Avenue
Seattle, WA 98122
Call 206-328-6155 for more information on becoming a sustaining donor.
Product and Purchase Information
Merchant Name
Companis
Description
Charitable Contribution
Payment Amount
USD
Credit Card Payment Information
Credit Card Number
Credit Card Expiration Date
Month
01 -- Jan
02 -- Feb
03 -- Mar
04 -- Apr
05 -- May
06 -- Jun
07 -- Jul
08 -- Aug
09 -- Sep
10 -- Oct
11 -- Nov
12 -- Dec
Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Credit Card Verification Value
(
?
)
Payment Options
Billing Address Information
First Name
Last Name
Street
City
State
Zip Code
Phone
Email
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