Lilyfield Seeds of Hope

Gift Information

Donation Amount*
  • $15
  • $25
  • $50
  • $80
  • Other $

Contact Information

Title
First Name*
Middle Name
Last Name*
Country*
Address*
City*
Postal Code*
Email*
Confirm Email*
Phone*

EFT Transaction

To set up an Eletronic Funds Transfer please enter your banking account routing number and account number in the comment section or call us at 405-216-5240 during office hours and we will assist you with your donation. 

 
 
 

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Share This Form

Powered by eTapestry.