Payment Form

The form allows for a payment of any amount to be sent to Friends of Presqu'ile. Please specify the reason for the payment, if possible reference your original order number.

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*

Email Address*

Confirm Email Address*

Phone

Payment Amount:*

Reason for Payment:

Payment Type

Credit Card Check

Total

Enter the code displayed*