In United States ONLY, fill out the following and click Proceed to Secure Server button:
Please accept my donation of:
$25.00 $50.00 $100.00 $500.00
OR
Other: $ Do not include any symbols in your amount. (e.g. 1000.00 not $1,000.)
First Name: Last Name: Address: City: State/Province: Zip/Postal Code: Phone: E-mail:
You will now enter a secure server hosted by the Christian Reformed Church (CRC). The CRC is authorized to collect on-line donations for the Micah Challenge, so all critical credit card and financial information is part of their secure system. You will receive an automatically-generated electronic receipt from the CRC once the transaction has occurred, and all other receipts and acknowledgement will come to you via the CRC.