Donations: Step One - Billing Information

Enter Billing Information:

Note: This must match the credit/debit card that you will be using!

First Name:  *
Last Name:  *
Street Address:  *
City:  *
State:  *
Zip:  *
Email:  *
Phone:  ()-*
Donation Amount:  $*
Optional: Please indicate here if this donation is for a specific purpose
(Legislative Dinner Sponsorship, Van Repair, In memory of...).
I want my donation to appear as "Anonymous" on the Sponsorship page of the CMRA website, and in the CMRA Newsletter.

Fields marked * are required.

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