1. Your Information

2. Contribution Amount

3. Credit Card Information

Master Charge
American Express

4. Verify Your Eligibility

By checking this box, I confirm that the following statements are true and accurate:

  1. This contribution is made from my own funds, and not those of another.
  2. This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.
  3. I am not a Federal government contractor.
  4. I am not a foreign national who lacks permanent resident status in the United States.
  5. I am at least 18 years of age.
  6. This contribution is made on a personal credit or debit card for which I have the legal obligation to pay, and is made neither on a corporate or business entity card nor on the card of another.