Credit Card Donation Donor InformationName(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) PhoneCredit Card DonationWould you be willing to cover the 3% online processing fee? Yes No Frequency of Your Donation One-Time Donation Recurring Donation (monthly) Recurring Donation (every 3 months) Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the “Donor Notes” field below.One-Time Amount $10 $25 $50 $100 $250 $500 Other One-Time (Other) Amount Monthly Recurring Amount $5/month $10/month $25/month $50/month $100/month $250/month Quarterly Recurring Amount $50/quarter $125/quarter $250/quarter $500/quarter $1,000/quarter $1,250/quarter Donor NotesSubtotal $0.00 3% Processing Fee (Thank You!) $0.00 Total Payment Method(Required)Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHANameThis field is for validation purposes and should be left unchanged.