1213

1213 Charitable Trust Logo

First Name

Last Name

Mobile Number

Zip

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV

Donor hereby approves the payment of the charitable donation and/or purchase to 1213 Charitable Trust and in the amount set forth herein.

If you prefer to donate by check, send your gift to: 1213 Charitable Trust • 12151 Research Parkway • Suite C • Orlando, FL 32826