Special Needs Trust Establishment: Payment

Enrollment Fee

Credit Card Payment
Opportunity ID
With this transaction, I authorize The Foundation of The Arc of Northern Virginia to charge my credit card at the selected rate AND a processing fee of 3.77%.
I understand this agreement is based on a one-time contract and confirm that I understand the terms of this agreement.
Beneficiary*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trust Type:*
Trust Cost

My Products*

Trust Establishment (1 Account)$1,050+3.77% processing fee

$1,089.60

Trust Establishment (Discounted Rate)The pre-approved discounted rate applies to: a. Families who have an existing SNT with us; b. Pre-approved Agencies setting up a trust on behalf of their clients. $775+3.77% processing fee

$804.21

Trust Establishment (2 Accounts)$1050 + $775 (second trust at 25% off) +3.77% processing fee

$1,893.80

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Grantor*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Should be Empty:

Enrollment Fee