One-Time Donation

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Your Information

First Name*

Last Name*

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Employer Information

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Employer*

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Contributions are not tax deductible.

Payment Details

Contribution rules I am a citizen of, or permanent resident in, the United States The funds I am contributing are my own personal funds and not those of another person. My contribution is not from the general treasury funds of a corporation, organization or national bank. I affirm that I am making this contribution via my personal credit or debit card, or online payment system, for which I have a legal obligation to pay, and not through a corporate or business entity card or the card of another person. I am not a foreign national who lacks permanent resident status in the United States. I am at least 18 years of age.

I confirm that the above statements are true and accurate.