Automatic Credit Card Donation

NOTE: Your first Donation will begin immediately once you submit the below form. All future donations will charge on the same date.

To cancel the recurring payment or update payment information, please contact us.

Name(Required)

First Last

Email(Required)

Phone(Required)

Select Recurring Frequency(Required)

Monthly

Annually

Recurring Donation Amount(Required)

Other Recurring Donation Amount(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Would you like to cover the $3 service fee, so that 100% of your donation goes to Arts Council Oklahoma City?(Required)

Yes, I would like to cover the $3 fee.

No, I do not want to cover the $3 fee.

Service Fee(Required)

Price:

Total

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