secure90x72 (2K)

Please use our secure form
for accepting online Check Contributions.
Return to the previous window
ABA Routing Number *
Account Number *
Bank Name *
Name on Bank Account *
Bank Account Type *
Amount *
Phone
E-mail Address *
Comments/Questions
Please specify where you would like your contribution to go, ie. Children, Office Expenses, As Needed, etc.
  

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SHIC, Inc. Asian Health Services Exchange


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