Kinhaven Music School | Secure Donation Payments

Secure Donation Payments

Fund:*
Amount:*	ex. 300.00
Comments:
	Required *PLEASE NOTE: If billing and donor information are the same, just enter donor information and leave billing information blank.
	Donor Information**
First Name*:	Last Name*:
Address*:
City*:
State/Province*:	Zip Code*:
Phone:	Country:
Email*:

	Credit Card Information
Type of Card: Card Number:
Expiration Date*:
	Credit Card billing information if different from donor information above**
First Name:	Last Name:
Address:
City:
State/Province:	Zip Code:
	Country:

Kinhaven Admissions Office 6 Elberta Road Maplewood, NJ 07040 phone: (973) 378-5854 admin@kinhaven.org
Disclosure for security and encryption practices.