Donation Form Please fill out the Credit Card Authorizaion form below. Once done click the 'Submit' button and we will be in touch with you within 48 hours to confirm your authorization. Please enable JavaScript in your browser to complete this form.Cardholder Name *As it appears on the card.Billing Address *City *State *Zip *Card Type *(Visa, Mastercard, etc.)Card Number *Expiration Date *Example: 23-Aug-2024Security Code *CVC2 / CVV2Amount to Donate *Recurring Donation *YesNoWould you like this to be a monthly recurring donation? We will automatically charge at the end of every month.Authorization *YesBy checking the Yes box, you are authorizing Build Belize Inc. to charge your credit card for the above amount agreed for donation. You understand that your information will be saved on file for future processing of your card.Submit
