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American Legion Auxiliary

Secure Payment Form

     
Order Date
Amount
Surcharge Fee (2.91%)
Total Amount
Description

List what you are paying for here. (Example Bond Fee, ALAMIS, etc.)

Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Unit Name
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address
Unit Name
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number