Tarrant Area Food Bank - Acceptiva

This page is for making a monetary donation in relation to court-order community service and/or restitution.

Donations must be ordered and approved by the court prior to submitting the form below.

Please complete the form below to make your donation. You must provide all information requested for the court to verify your donation.

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Enter Amount

Donor Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

Email: *

A receipt will be emailed to this address.

Case/CID Number: *

You will receive a written receipt by mail as well as an email confirmation.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *