Giving By Automatic Direct Debit

Below is the “set it and forget it” option. Send us your information, and we take care of the rest. Need to make changes? Contact us or use this is same form.

Prefer to control recurring donations with an online login? Read More.

NOTE: The regular monthly sponsorship amount is $29 and the annual amount is $348.
Sponsors outside USA, must submit credit card option.

Please Choose * This is a NEW auto-debit UPDATE existing auto-debit

Is this a NEW debit set up or a change to an existing one? If this is a change, just enter your new instructions below.

Is this for a New or Existing Sponsorship? * Existing Sponsorship New Sponsorship (choose one for me) New Sponsorship (I will choose)

If new and choosing, please tell us specific name and/or type in message at the end of this form.

Who would you like to sponsor? *

Either give specific name, general category, or any info you'd like to specify.

Please Choose * Auto-debit - CREDIT CARD Auto-debit - BANK ACCOUNT

Choose to debit your bank account or credit card. Bank debits save us 3%.

Contact Info

MP Account ID

(No problem if you don't have it)

Full Name *

The name used on the account.

Email *

Phone *

Billing Address outside USA?

Yes

Address *

Address

Address

Address

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Intl Billing Address

Intl Billing Address

Intl Billing Address

Intl Billing Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Country

Giving Info

Name of Bank *

Bank Routing Number *

Account Number *

Credit Card Type * Visa Master Card American Express

Name as it Appears on the Card *

Credit Card Number *

Expiration Date (MM/YY) *

Total Auto EFT Amount *

Your total monthly or annually "auto-debit" giving. A child sponsorship is $29 monthly. Each child has 2 sponsors.

I would like to donate this amount: *

Monthly

Annually

Please add my unpaid balance to the first donation only *

Yes

No

N/A

Questions/Comments? Address change? Let us know. Thank you!

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If you are human, leave this field blank.