Donate – Recurring

Donate to the Children’s Health Defense

Please use this form to make a monthly recurring donation. You can also make a one-time donation.

Children’s Health Defense is a 501c3 non-profit organization. Donations (including membership fee) are tax deductible to the full extent of the law.

Name*
First Last
Email*
Enter Email Confirm Email
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Are you a CHD member?*
Membership Options*
Membership Fee
Price: $10.00
Donation Amount
Please enter your recurring amount which will be charged to your credit card on a monthly basis. If you're becoming a member, the $10 fee will only be charged once.
Total
$0.00
Where are you located?*
Address*
Street Address City State ZIP Code
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Optional: Demographic Information
To determine how you may be able to help in our legal efforts and initiatives, we are requesting demographic information about you and your family.
Your Age
Do you have any children in these age groups?
You can select multiple fields.
What is your occupation?
Would you like to become a CHD volunteer?
In what areas would you like to volunteer?*
You can select multiple fields.
Please tell us about any special talents that you could provide as a volunteer?
Our promise to you:
Your personal information will only be used by Children's Health Defense.

Thank you so much for supporting Children's Health Defense!
Date
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