Unplanned Pregnancy? Life Services in Spokane Can Help

Donation

Thank you for helping iCHOICE/Life Services provide real solutions for people as they make decisions regarding pregnancy and relationships!

This simple three-step process gives you the option to use your credit card in a safe and secure format. Note that fields with an * are required.

If you prefer to telephone us with your donation, please contact our administrative offices at 1-509-327-0701, Monday through Thursday, Pacific time. A receipt for your donation will be mailed to the address you provide below.

1. Please tell us a little bit about yourself.
Name/Contact*
Group/Business*
Street Address 1*
Street Address 2
City*
State*
Zip/Postal Code*
Home Phone	Preferred Phone
Business Phone	Preferred Phone
Cell Phone	Preferred Phone
Preferred Email*:
Email Type:

2. What credit card will you be using?
Card Type*:
Card Number*
Expiration Date*	/
CIN*:
* CIN - The Card Identification Number refers to the last 3 digits on the back of the credit card to the far right of the signature line
Recurring payment?


3. Complete your donation.
Donation amount*:
What prompted you to make this contribution today?
Would you like a receipt mailed to you? Yes No
Is this your first contribution to Life Services? Yes No

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1. Please tell us a little bit about yourself.

2. What credit card will you be using?

3. Complete your donation.