XXXXX XXXXX  DONATION FORM XXXXX XXXXX

******  THIS FORM IS NO LONGER IN USE ******

Donations may be made in USD or UGX - You may need a 3D security code.

 
DONATION AMOUNT :  Consider USD: 25 or 50 or 100 or XXX equivalent
 
SELECT CURRENCY :  Select USD or XXX
 
ENTER YOUR NAME :  Enter your given or first name
 
DONOR PHONE NUMBER :  Enter phone number with country code
 
DONATION PURPOSE :    Select Refugee Orphans or Other Initiatives
 

Note:

You donation is being securely transferred directly to  XXXX bank. All processing is being performed through XXXX International Payments Network. After you press the PAY NOW! button above, you will be asked to chose the method of payment you prefer, and to enter your credit card details. In most cases you will also be asked to enter your card's 3D security code depending upon your country of origin. If you experience any problems processing your donation please contact XXXXXX using our 'Get In Touch' form in our About Us page and we will do everything possible to assist you. Your donation regardless of its size is greatly appreciated. You will receive an email confirmation as soon as your donation is processed by XXX Bank. Given world time zones this may be as much as 24 hours afterwards. You will also within one month receive a follow up thank-you communication by email from XXXXXX XXXXXX. Thank you in advance for your kindness.