ACH Payment | Humane Society of Union County

Donation Details

*This information is required

Name*

First Last

Donation Amount*

Please Select the Reason for your Donation*

Custom Amount*

Notes

IN MEMORY OF INFORMATION

Please provide the name of the person or pet your donation is in memory of

Name of Person

First Last

Name of Pet

Would you would like us to send an acknowledgment to the family about this donation?*

Yes
No

Name (of person to send an acknowledgment to)

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

If you prefer, please provide an email address we can use

Let Us Know Who You Are Celebrating

Please provide the name of the loved one (person OR pet) that this donation is celebrating.

Name of Person

First Last

Name of Pet

Would you would like us to send an acknowledgment to the family about this donation?*

Yes
No

Name (of person to send an acknowledgment to)

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

If you prefer, please provide an email address we can use

Billing Details

*This information is required

Email*

Phone*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Bank Transfer

Account holder Name * Account Number * Routing Number * Account Type * Check Type *

PAYMENT TERMS AND CONDITIONS*

AUTHORIZATION
By checking the "I accept the Terms and Conditions" checkbox below I authorize my bank to debit my specified account for the amount of my payment. This is a one-time payment which will occur on the next business day or as soon as practical thereafter. If my payment cannot be completed for any reason, including insufficient funds or error in the information which I submitted, I will retain the same liability, which is my sole responsibility, for payment as though I had not attempted to make the payment. I also understand that additional fees and penalties may be collected to the extent of applicable law.

RECEIPT
A receipt can be printed after payment is accepted which may serve as evidence of payment. If an email address is provided during the payment process, a receipt will be emailed to you after the payment is processed.

CONTACT
If for any reason you wish to make a change to the payment after submission, please contact THE HUMANE SOCIETY OF UNION COUNTY for assistance at 704-283-9126

I agree to the terms and conditions

Total

$0.00

CAPTCHA

One Time ACH Donation

Donation Details

IN MEMORY OF INFORMATION

Let Us Know Who You Are Celebrating

Billing Details