Offer a donation

I would like to sponsor the cost of filtering for people who need the help paying for it

    Name (required)

    Phone Number (required)

    How many filters would you like to sponsor?

    This sponsorship should be in the merit of

    Would you like your donation to be used for a specific type of device?

    What amount would like to sponsor towards filtering?

    What type of card will you be using?

    What is your Credit Card number?

    What is your cards expiration date?

    What is the security code?(On American Express, these are the four numbers at the front)