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Recurring Gift

Contact Information
* First Name 
* Last Name 
  Company Name 
* Address 
  Address 2 
* City 
* State/Province 
* Zip/Postal Code 
  Home Phone 
  Cell Phone 
  Work Phone 
* Email 

Payment Information
  Payment Options 

Credit Card Information
  Card Holder Name 
  Card Account Number 
  Expiration Date 
* Security Code  

Billing Address
  Same As Above 
* Address 
* Zip/Postal Code 

For your recurring pledge, the account information provided above
will be stored securely via SafeSave™ for automatic processing of your future payments.
Simply notify us at anytime if you wish to discontinue your pledge.

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We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us:  Rescue Mission Alliance of Syracuse | 155 Gifford St. | Syracuse, NY 13202 | 315.472.6251
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