Start Column 1Donation Amount* $10 $25 $50 $100 Other Other Amount* Payment options One Time OnlyRecurring Recurring typesSubscriptionPeriodicityMonthNumber of paymentsIndefinite Recurring Only End Column 1Start Column 2Payment InformationEmail* PhoneName* First Last Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name This donation to Stand for Children Leadership Center, a 501(c)3 non-profit organization, is tax-deductible under IRS regulations.End Column 2HiddenEntityStand for Children Leadership Center (C3)Stand for Children, Inc. (C4)AZ PACAZ IECCO Denver PCCO Small Donor CommitteeCO BSSCCO BSSC IECCO Issue CommitteeCO Rural Voices for ED IECIL PACIL IECIN PACLA PACLA IECMA IE PACOK PACOK IECOR PACVote Yes For 98TN PACTN IECTX PACWA PACHiddenFundGeneral FundMembershipStand UpBeat the Odds 2016 - EugeneBeat the Odds 2016 - PortlandBTO Student Support FundJeanette Hamby Enterprise Scholarship FundLouisiana Educator All-Stars ProgramOR Scholarship ProgramHiddenCommunityArizona GeneralColorado GeneralIllinois GeneralIndiana GeneralLouisiana GeneralMassachusetts GeneralNationalOklahoma GeneralOregon GeneralTennessee GeneralTexas GeneralWashington GeneralDenver/MetroChicagoSpringfieldBaton RougeNew OrleansBostonOklahoma CityTulsaBeavertonBethelHillsboroJackson CountyLake OswegoLane CountyPortlandReynoldsSalem-KeizerMemphisNashvilleDallasTacomaNational Office - General
