Make a Donation to UMMA Community Clinic

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Donation frequency
Recurring donations are the best way to give steady support

CHOOSE YOUR CALENDAR GIFT: (Shipping costs included)

*For our international patrons: Please remember that this form is ONLY for customers with a US shipping address. Calendars will be shipped to the Billing Address.
  • $13 donation: 1 Calendar
  • $24 donation: 2 Calendars ($12 each)
  • $33 donation: 3 Calendars ($11 each)
  • $40 donation: 4 Calendars ($10 each) BEST VALUE!
  • 5 Calendars or more, please call (323) 406.5791
  • No, thank you. I do not wish to select a gift item.

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Payment Information

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Card Security Code
The card security code is a unique three or four digit number, separate from your credit card number. Your security code can be found in the following locations on the following cards:
Your card security code for your MasterCard, Visa or Discover card is a three-digit number on the back of your credit card, immediately following your main card number.
Visa Card
American Express
The card security code for your American Express card is a four-digit number located on the front of your credit card, to the right of your main credit card number.
Visa Card
If your security code is missing or illegible, please call the bank or credit card establishment referenced on your card for assistance.

If you have a special purpose for your donation, please let us know.

I want my donation to be dedicated: