Scottish Rite Charities Payment Portal

Your $5,000.00 White Flower Pledge Amount

$83.34 / 60 monthly payments

$250.00 / 20 quarterly payments

$1,000.00 / 5 annual payments

$5,000.00 / 1 payment

Name of whom your gift is in honor/memory of:

Please enter whom your gift is in honor/memory of.

Payment Frequency

Bill Day Month

Bill Day Week

Payment Information

Please select payment type:

Credit Card

Bank Transfer

Card Number

Please enter your credit card number.

Expiration Date

Please enter 2 digit expiration month.

Please enter 4 digit expiration year.

CVV Code

Please enter your credit card CVV number.

Account Number

Please enter your bank account number.

Routing Number

Please enter your banks routing number.

Account Type

Please select a bank account type.

Account Holder Name

Please enter the bank account holder name.

Bank Name

Please enter the bank name.

Your Information

First Name

Please enter your first name.

Last Name

Please enter your last name.

Company

Please enter your company name.

Title/Position

Please enter your title/position at the company.

Address 1

Please enter your address.

Address 2

City

Please enter your city.

State

Please select a state.

Zip

Please enter your zip code.

Please enter your email.

Phone #

Please enter a valid 10-digit phone number.

Valley (Members Only)

Member Number

Please enter your member number.

Acknowledgement

Please select how you would like to receive your donation acknowledgement:

Mail

Email (for gifts under $1,000)

Total Donation Amount: $0.00

Remaining Pledge Amount: $0.00

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