| To make a credit card donation by mail or fax, please
print this form, fill out the information and mail it to the address below (or
fax to 952-928-2551). You can also call our office with this information: 952-928-2550. |
| (Name & address
should be the same as the credit card billing information) |
| ____________________________________________ Name |
| ____________________________________________
Address |
| ____________________________________________
City / State / Zip |
| ___________________________
Telephone ________________________________ Email |
| (You
can receive your receipt/confirmation by email) |
| I authorize Daystar U.S. to debit my credit
card $ ________ (minimum $15) as specified below. |
|
Credit Card: (circle one) . . . Visa . . . MasterCard . .
. Discover |
| Please use my gift for: |
| $___________ Scholarships |
| $___________ Where Most
Needed |
| $___________ Other _______________________________________________ |
| |
| $___________ Total Donation |
| |
| Credit Card Number _________________________________ Exp. Date _______
|
| CSC Number _______ |
The Card Security
Code (CSC) is a 3- or 4-digit number printed in the signature field on the back
of your credit card. On some cards, the credit card number, or part of it, appears
before the CSC.). Example:
|
| Credit Holder Signature ________________________________
Date __________ |
| Mail or Fax to: Daystar
U.S. |
|
5701 Normandale Road #325
|
| Edina, MN 55424-2400 |
| Fax: 952-928-2551 |
| Daystar U.S. is a IRS registered
501(c)(3) non-profit organization, all donations are fully tax-deductible to the
extent provided by law. |
| |
| Thank
you for supporting the ministry of Daystar!!! |
| |
| Contact us by phone: 952-928-2550 |
| Contact us by email:
Info@DaystarUS.org |