One moment please...

Your Donation by credit or debit card

Use this form to make a donation with any major credit card or with a VISA or MASTERCARD debit card

Amount

$100

$75

$50

$25

$15

Donation Schedule

Your Contact Information

Raglan Community Arts Council will never share or sell your personal information.

Your Name

First Name

Last Name

Name of second person

First Name

Last Name

If this donation is from two people, then enter the name of the second person in the box above - otherwise leave it blank.

Organisation

If this donation is from a business or organisation enter the organisation name in the box above - otherwise leave it blank.

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Add 3% to my total amount to help cover the payment processing fees