Fill out the information below to make a contribution to the South Dakota Dental Foundation.
Billing Information
Cardholder first name
*
Cardholder last name
*
Donor Name (if different)
Billing Address
*
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Billing State
*
*Select State*
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*
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Contribution
Today's payment amount
*
$
Recurring Information
Make this a recurring transaction
In addition to
the payment amount
today, you will be charged
the payment amount
on day
1
15
of every
1
2
3
4
5
6
7
8
9
10
11
12
month(s)
Charges begin on
the next applicable future date
.
Cancellation Policy +
If you wish to cancel this recurring billing, contact the SD Dental Foundation at 605-224-9133.
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