Your donation will support a clean water initiative and will impact people's lives for generations to come. Each time a mother fills up a cup of water at your well, your impact will be felt and appreciated. If you want your donation directed toward life centers or a project close to your heart, add that information in the "I want my donation to be dedicated" section below.
Clean Water Drilling
First Name:
Last Name:
Email:
Phone:
Name on Card:
Card Type:
Card Number:
Expires: /
Security Code:
Billing Address 1:
Billing Address 2:
City:
State:
ZIP:
Country:
Designated:
Dedicated:
Message:
The recipient will receive a acknowledgement.
Recipient Email:
Recipient:
Address: