Afghan Rescue Online Giving Form

AFGHAN RESCUE

Tax Deductible Gift For Humanitarian Aid & Relocation
DONOR INFO
Donor Name*

PrefixFirst NameLast Name
Donor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
To email receipt
EVACUEE or PROJECT CODE
Leave blank for "Use Where Most Needed" gifts

Amount

USDPlease Enter Donation Amount

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty: