Form – Monthly Donations - Assistance League of Tucson

Monthly Donations

"*" indicates required fields

Due to Charitable Solicitation Registration requirements, we are only able to accept donations from donors who have a billing address in these states: Arizona, Delaware, Idaho, Indiana, Iowa, Louisiana, Minnesota, Montana, Nebraska, South Dakota, Vermont, and Wyoming.

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

If you would like to designate a particular program as the beneficiary of your donation, please choose the designation below.

DESIGNATED DONATION OPTIONS

If you wish to make this donation in honor of or in memory of someone special, please enter their name and address below. Check the box to indicate which type of tribute you are sending. A card will be sent to the listed person within a week of receiving your donation.

TYPE OF TRIBUTE

In Memory of

In Honor of

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Enter the amount you wish to donate each month. Every month on the date of your donation, your credit card will be charged the amount you enter here. The payment cycle will end in 12 months.

Donation Amount*

Do not enter a dollar sign.

Monthly Donations

Monthly Donations

Due to Charitable Solicitation Registration requirements, we are only able to accept donations from donors who have a billing address in these states: Arizona, Delaware, Idaho, Indiana, Iowa, Louisiana, Minnesota, Montana, Nebraska, South Dakota, Vermont, and Wyoming.

Contact Us

Contact Us