Help Support CiviCRM! Do you love CiviCRM? Do you use CiviCRM? Then please support CiviCRM and Contribute NOW by trying out our new online contribution features! Contribution Amount Friend - $ 1.00 (includes Sales Tax of $ 0.00) Supporter - $ 5.00 (includes Sales Tax of $ 0.00) Booster - $ 10.00 (includes Sales Tax of $ 0.00) Sustainer - $ 50.00 (includes Sales Tax of $ 0.00) Other Amount Other Amount $ Total Amount I want to contribute this amount every month Email Address * Account Please enter a Username to create an account. If you already have an account please login before completing this form. Username * Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Thank-you Gifts We appreciate your support and invite you to choose from the exciting collection of thank-you gifts below. Minimum contribution amounts for each selection are included in the descriptions. (NOTE: These gifts are shown as examples only. No gifts will be sent to donors.) No thank-you No thank-youCoffee MugCoffee MugYou must contribute at least $5.00 to get this itemContribute $5.00 InsteadThis heavy-duty mug is great for home or office, coffee or tea or hot chocolate. Show your support to family, friends and colleagues. Choose from three great colors. White Black Green Minimum: $5.00 Name and Address First Name * Last Name * Street Address (Home) City (Home) Postal Code (Home) Country (Home) - select Country (Home) - United States Australia Canada State (Home) - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming file * Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States Australia Canada State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Review your contribution