Contribute

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first name

last name

address

city

state

country

zip / post

email address

phone number

Employment

To comply with Federal law, we must use best efforts to obtain,
maintain, and submit the name, mailing address, occupation and name of
employer of individuals whose contributions exceed $200 per calendar
year.

employer

occupation

Amount

Check this box to confirm that the following statements are true and accurate:

I understand that State law requires that a contribution be in my name and be from my own funds. I hereby affirm that this contribution is being made from my personal credit card account, billed to and paid by me for my personal use, and having no corporate or business affiliation; and is not being made as a loan.

Additional Information For Americans Living Abroad

Passport Number

Americans Abroad check this box to confirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.
The funds I am donating are not being provided to me by another person or entity for the purpose of making this contribution.

Your contribution is not tax-deductible as a charitable contribution for Federal income tax purposes.