X/TwitterThis field is for validation purposes and should be left unchanged. Invest in Assistance League Donations made via this form go to the national organization. Donations to chapters should be made via a chapter website. Contributing enables the national organization to realize its purpose "building effective chapters nationwide through education, inspiration and support" so chapters can concentrate on our shared mission - Assistance League volunteers transforming the lives of children through community programs. Donation InformationIs this a tribute donation?** Yes No *Minimum $250 for tribute donations *In Honor of/In Memory of: $250 minimum donation *VIP: $300 minimum donation *Circle of Honor: $350 minimum donation Donation Amount* For a recurring payment please enter the payment you would like to be charged by the frequency of each gift. For example: $25 if you would like to be charged $25 monthly.Payment options One Time OnlyRecurring Recurring typesSubscriptionFrequencyMonthYearNumber of paymentsIndefinite Recurring Only For a recurring payment please enter the payment you would like to be charged by the frequency of each gift. For example: $25 if you would like to be charged $25 monthly.Tribute Type* In honor of In memory of Circle of Honor Donation Amount* (min. $250)Donation Amount* (min. $350)Honoree*Please list other donors that are part of this contribution.Do you want us to notify someone of your gift? Yes No By selecting yes, we will send a letter to the person you designate by filling out the Notification Recipient Name and Recipient's Mailing Address.Notification Recipient NamePlease list only the full name.Notification Recipient's Mailing AddressTotal $0.00 Donor InformationAre you a member of Assistance League?* Yes No Chapter*Please select...AlbuquerqueAmador ValleyAnaheimAntelope ValleyArcadiaAtlantaBakersfieldBendBirminghamBoiseCapistrano ValleyCarlsbadChaves CountyChicagoland WestCoachella ValleyConejo ValleyCoppellCorvallisCovina ValleyDallasDenverDiablo ValleyDowneyEl PasoEugeneEverettFlintridgeFresnoFullertonGarden GroveGeorgetown AreaGlendaleGreater CincinnatiGreater Collin CountyGreater PlacerGreater PortlandGreater San DiegoGreater WilmingtonHawaiiHemacintoHoustonHuntington BeachIndianapolisInland North CountyIrvineKlamath BasinLaguna BeachLong BeachLos AltosLos AngelesLos Gatos-SaratogaMetro ColumbusMid-MissouriMontgomery CountyNashvilleNewport-MesaNormanNorth CoastNorthern VirginiaOmahaOrangePasadenaPomona ValleyPuebloRancho San DieguitoRiversideSacramentoSaddleback ValleySalem-KeizerSan AntonioSan BernardinoSan JoseSan Luis Obispo CountySan Mateo CountySan Pedro-South BaySanta AnaSanta ClaritaSanta MonicaSeattleSierra FoothillsSonoma CountySoutheastern MichiganSouth Puget SoundSouthwest WashingtonSt. LouisStocktonthe Chesapeakethe Columbia Pacificthe Eastsidethe Foothill Communitiesthe Triangle AreaTulsaTustinVictor ValleyVisaliaWhittierWichitaIf you are a member of multiple chapters, select the Primary chapter. Circle Fund Cumulative Levels Star II - $20,000 Diamond - $5,000 Silver - $1,000 Star I - $10,000 Gold - $3,000 Bronze - $500 Donor is:* Myself Organization Assistance League Chapter OrganizationDo you want to receive a Circle pin? Yes No *Minimum $90 to receive a Circle pinContact Information* First Last Billing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhonePayment Method*Credit CardCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name If you pay by check, mail check payable to National Assistance League along with a copy of receipt to: National Assistance League 3100 West Burbank Blvd, Suite 100 Burbank, CA 91505 We acknowledge our donors in various publications, on the national website and other media information. Anonymous Please check the box if you wish to remain anonymous. Comments:C&P Order Mode Test Production CAPTCHA Δ
