Thank you!Donation Amount*$10$25$50$100OtherOther Amount* A portion of your contribution may qualify for an Oregon income tax credit. To find out more, refer to OR Tax code section 150-316-0120: Credit for Political Contributions.Payment InformationEmail* PhoneName* First Last Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Occupation*Employer Name*Payment OptionsCredit CardeCheckCredit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name eCheckName on Account *: Check Number *: Account Type : SavingsAccountCheckingAccountCheck Type : CompanyPersonalRouting Number*: Account Number *: Repeat Account Number *: Type of ID : DriverMilitaryStateBy clicking on the “Donate Now” button below, you affirm that you are an individual who is a United States citizen or lawful permanent resident and that your contribution is made from your own funds and not those of any business or other person.EntityStand for Children Leadership Center (C3)Stand for Children, Inc. (C4)AZ PACAZ IECCO Denver PCCO Small Donor CommitteeCO BSSCCO BSSC IECCO Issue CommitteeCO Rural Voices for ED IECIL PACIL IECIN PACLA PACLA IECMA IE PACOK PACOK IECOR PACVote Yes For 98TN PACTN IECTX PACWA PACFundGeneral FundMembershipStand UpBeat the Odds 2016 - EugeneBeat the Odds 2016 - PortlandBTO Student Support FundJeanette Hamby Enterprise Scholarship FundLouisiana Educator All-Stars ProgramOR Scholarship ProgramCommunityOregon
