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DONATE ONLINE:

Make online donation with credit/debit card or eCheck/Bank Transfer via this form. Donations are tax deductible to the full extent permitted by law. Sensitive card or bank information is protected by encryption and stored on secure PayPal or Intuit systems.

Donors who would like to save on transaction fees may want to consider eCheck/Bank Transfer option.

Donor Information

Donation type*

PLEASE, FILL OUT THE FORM IN ENGLISH! Пожалуйста, заполняйте форму английскими буквами!

Organization name*

Name*

First Name Last Name

Organization name

(optional)

Email*

Use data on file

To use your address/phone on file with CI, mark below statement

I donated previously with the same email via this online form

Phone*

Address*

Address Line 1 Address Line 2 City State ZIP Country

Donation

Designation*

Contribution Amount*

Processing Fee

Credit or Debit Card

Price: $0.00

Total

Memo

Frequency*

One-Time

Monthly

Quarterly

Payment Type*

Credit or Debit Card

eCheck/Bank Transfer

Credit or Debit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Consent*

By paying by credit-card you agree to a 1.99% + 49 cents Processing-fee.

CAPTCHA

On pressing SUBMIT button the system will momentarily email you a secure electronic payment form linked to this donation pledge. You will have to fill the emailed payment form in order to complete your donation.

Enter Bank Account Info (ONLY for banks in USA)

Bank Info on file

Use bank info from my last payment on this web form

Account Number*

Routing Number*

Account Type*

By pressing the SUBMIT button I authorize Connect International to charge my account in the amount and under the conditions stated in the form above.

Name

This field is for validation purposes and should be left unchanged.

Gift Acceptance Policy

Giver Privacy Policy

Connect International

Non-Profit Organization

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Donor Information

Donation

Enter Bank Account Info (ONLY for banks in USA)

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DONATE ONLINE:

Donor Information

Donation

Enter Bank Account Info (ONLY for banks in USA)

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