| How would you like to donate? | Credit Card |
|---|---|
| Credit Card | MasterCard XXXXXXXXXXXX7914 |
| Check/Bank Account Information | |
| Grant Organization | |
| Date | 01/12/2025 |
| Your Donation | $500.00 |
| Total | $518.13 |
| Donation Type | Recurring |
| How Many Months? | 12 |
| Name | Yisrael And Sara Rosenfeld |
| Phone | +13475859410 |
| Email hidden; Javascript is required. | |
| Address | 11234 United States Map It |
| Referral Code | |
| Referrer Name | |
| Team | |
| Campaign | Monthly Supporters |