Enter the numbers from the bottom of your check as illustrated below.

    Your name as it appears on your check

    Your address as it appears on your check

    Your city, state & zip code
    Your phone number

    Check number

      Pay To The
    Order Of:
     C.O.P.E., The Center
       ***Seventeen Dollars and 95 Cents*** US Dollars
      Type your full name here
    Memo  Signature 
    Bank Routing Code and Bank Account Number

    For security reasons, please enter the last four digits
    of your social security number.

    Enter your email address so that we may send you a receipt.