Online Donation

Use this form to make an online donation. If this is for something specific, please note that in the comment box
Donor information
Campaign*
First name*
Last name*
Organization
Phone*
Email*
I will pay for payment gateway fee ?	No Yes
Donation Information
Donation Type	One Time Recurring
Donation frequency
Number occurrences
Amount	$ $
Payment method	Paypal
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Card type*
Card Holder Name*
Bank ABA Routing Number*
Bank Account Number*
Bank Account Type*
Bank Name*
Account Holder Name*
Comment*

By Credit or Debit Card and Paypal by filling in all the information in the donation form.

By Check or Money Order : (made out to Ugbajo Itsekiri USA Inc.)

Mail your check to:

P.O. Box 11465 • Washington • DC 20008

Name	Amount ($)
John Smith	400.00

OUR SPONSORS