Online Payment

Online PaymentIWSS2020-12-07T19:30:33+00:00

Thank you for your donation to Alpha Omega Clinic

You can send us a donation by using credit card or by money transfer using ZELLE®.

"*" indicates required fields

Full Name*

First Last

Donation Amount*

Purpose

Email*

Telephone Number

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Credit Card*

Name on Card

Card Details

Name

This field is for validation purposes and should be left unchanged.