Donate Recurring

Donate to Children’s Health Defense

This form is only for a monthly recurring donation. You can also make a one-time donation.

Please don’t hesitate contact us if you need assistance with donation or have any questions.

Children's Health Defense^® - Arizona Chapter is a 501(c)(3) non-profit organization. Donations are tax deductible to the full extent of the law.

Name*

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Email*

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Credit Card

Card Details

Cardholder Name

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Are you a CHD member?

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Membership Options*

Membership Fee

Price:

Donation Amount

Please enter your recurring amount which will be charged to your credit card on a monthly basis.

Total

Where are you located?*

US Phone

Int'l Phone

Address*

Street Address City State ZIP Code

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Optional: Demographic Information

To determine how you may be able to help in our legal efforts and initiatives, we are requesting demographic information about you and your family.

Your Age

Do you have any children in these age groups?

You can select multiple fields.

What is your occupation?

Would you like to become a CHD volunteer?

In what areas would you like to volunteer?*

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Please tell us about any special talents that you could provide as a volunteer?

Phone

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

Our promise to you:
Your personal information will only be used by Children's Health Defense and its Arizona Chapter.

Thank you so much for supporting Children's Health Defense - Arizona Chapter!