MAKE A SPECIAL CONTRIBUTION TO AHHA
Use this form if...
You are currently an AHHA member and wish to make an
additional contribution
.
You are
not
currently an AHHA member and wish to make a special contribution
without becoming a member
.
You can use the submittal form on this page to fill out and submit the information online
OR
You can download and printout
a submittal form
to fill out and mail in.
GENERAL INFORMATION:
This contribution is from
an individual
a company
Full Name:
Organization:
Street Address:
City:
State:
Zipcode:
Country:
USA
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territories
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote Divoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island And Mcdonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic Peoples Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands British
Virgin Islands U.S.
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Work Phone:
Home Phone:
Cell Phone:
Email:
Website:
ALL INFORMATION IS KEPT CONFIDENTIAL
CONTRIBUTION INFORMATION:
AHHA is a designated 501(C)(3) nonprofit - Tax ID# 33-041271
Contributions are tax deductible as allowed by law
$
I support AHHA with this special contribution
NOTE: This indicates your intent. To actually make the contribution, you need to go to the secure server to enter credit card data OR mail a check or money order to AHHA.
SPECIAL NOTES:
Use this space to explain your wishes and provide AHHA all related details related to your contribution. You may designate this special, non-membership contribution towards a specific AHHA project or donate in memory of or in honor of a special person. For in memory of contributions - please add the name and address of someone representing the person being remembered, so that AHHA can notify of your caring and generosity. For in honor of contributions - please add the name and address of the person being honored, so that AHHA can notify of your caring and generosity.
Print out a copy of all of the above for your records, as back up in case of a technical glitch in information transfer.
SUBMIT APPLICATION INFORMATION TO AHHA:
IMPORTANT:
THIS FORM DOES NOT MAKE YOUR PAYMENT.
After you click on SUBMIT button below, the data you entered above will be emailed to AHHA.
AND you will be transferred to the payment information screen.
Pick
Option #1
to indicate you plan to mail a check or money order to AHHA to make your contribution.
Pick
Option #2
to indicate you plan to use your credit card to make your contribution.
Method will use to make contribution
pick one
Option #1 - check or money order by mail
Option #2 - online credit card transaction