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Title

*First Name:

Middle Name:

*Last Name:

Personal or on Behalf of an Organization:

Company or Organization Name:

Billing Information

* Email:

* Phone Number:

* Country:

* Address 1:

Address 2:

* City:

* State/Province:

* Zip/Postal Code:

In the future, it is Ok to contact me by Email

In the future, it is Ok to contact me by Mail

In the future, it is Ok to contact me by Phone

It is Ok to contact me for future donations

Credit Card Information

* Name on Credit Card:

* Card Number:

* Type:

* Month:

* Year:

* CVV:

What is a CVV Code?

CVV Code is a security code used to protect your credit card and prevent fraudulent use.

Visa/MasterCard/Discover

The CVV Code is the last 3 digits immediately after your credit card number on the back of your card.

The CVV Code is located within the signature panel.

American Express

On American Express cards the CVV Code is the 4 digits above and to the right of your credit card number on the front of your card.

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Transaction Approval Notice

Please complete all the information, click on Submit and wait for your transaction to complete.
You will see a green message above, the instant your transaction is approved and you will receive a confirmation email.
If required information to process is missing or incorrect, you will see a red message.

Important Notice
If you do not see our confirmation email right away for approved transactions,
please check your bulk/spam folders and accept our email. You only need to do this once.

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Smith Memorial Playground and Playhouse

3500 Reservoir Drive,
East Fairmount Park, Philadelphia PA 19121

info@smithplayground.org
(215) 765-4325

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