Donation Forms Archive » Page 4 of 7

Event: Rising Together: A New Chapter for Syria / IL

$ Donation Amount:

Select Payment Method

Credit Card
eCheck

Personal Info

First Name *

Last Name *

Email Address *

Phone

Male Female

Age Range

Yes

Number of Children

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $60

Event: Rising Together, A New Chapter for Syria / Dallas

$ Donation Amount:

Select Payment Method

Credit Card
eCheck

Personal Info

First Name *

Last Name *

Email Address *

Phone

Male Female

Age Range

Yes

Number of Children

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $25

Special campaign for advocacy efforts in DC

Support our advocacy efforts to influence policy and promote justice for Syrians!

Special campaign for advocacy efforts in DC

We've raised $0

$ Donation Amount:

Select Payment Method

Credit Card
eCheck

Phone

Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $500

Emergency Response / Stand with Aleppo

$ Donation Amount:

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Credit Card
eCheck

Fund

Zakat

Phone

Personal Info

First Name *

Last Name *

Email Address *

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $300

Event: Rising Together, A New Chapter for Syria-Fairfax

$ Donation Amount:

Select Payment Method

Credit Card
eCheck

Personal Info

First Name *

Last Name *

Email Address *

Phone

Male Female

Age Range

Yes

Number of Children

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $25

Join the Game, Change a Life!

Donation Amount:

$ 150

Select Payment Method

Credit Card
eCheck

Personal Info

First Name *

Last Name *

Email Address *

Phone

Team Name

Team member's names

Note: Brothers 25 & up, $150 per team

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $150

Donation Forms

Event: Rising Together: A New Chapter for Syria / IL

Event: Rising Together, A New Chapter for Syria / Dallas

Special campaign for advocacy efforts in DC

Emergency Response / Stand with Aleppo

Event: Rising Together, A New Chapter for Syria-Fairfax

Join the Game, Change a Life!

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Don’t miss this opportunity to stay informed and inspired

Don’t miss this opportunity to stay informed and inspired