Donation Form for AniMEALS MOWWC Name on Card * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Card Number * Security Code * on back of card Expiration Date * ZIP Code * associated with card Donation type * AniMEALS ($15) One-Time Donation (Specify Amount Below) Monthly Donation (Specify Amount Below) Fashion Night Out Sponsorship (Specify Amount Below) Amount Donating * $ Is this a recurring payment? * YES NO This donation is made in "Honor of" or in "Memory of": Message Thank you for your generous donation! Your gift is a true blessing to our seniors and their beloved furry companions. Meals on Wheels Wichita County thanks you furry much!
