ePay Form: Institutional Advancement

Secure Payment Form

Date: 10/26/16
Payment Amount: (No dollar sign)
Type of Payment:

Click on button to select one of the following:

Donations / Gifts:
Benedict College Annual Fund
Benedict College Gospel Choir
Benedict College Marching Tigers Band
Herman Jones Jr. Endowed Band Scholarship Fund
Mather School Fund
President's Circle - Purple Seat
Reunion Class Gift

Payment on an Existing Endowed Scholarship:
Other Comments:
Alumni Class Year (YYYY):
Credit Card Information:
Card Type:

Name as on Card (Required):
Card Billing Street Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]
Mailing Information (Required ... please fill in):
Company Name:
First Name:
Last Name:
Address Line 2:
Phone Number:
Email Address: