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Donations - Secure Online Donation Form

This secure donations page can be used to make a donation to the CPA-PAC, the CPA Foundation, the CPA RxP Fund, or the Chuck Faltz Spirit of Psychology Award Fund.  Donations to funds managed by the CPA Foundation, a 501(c)(3) organization, are fully tax deductible.

You may select to make a one-time donation, a recurring monthly donation (a certain amount that will be billed each month until you cancel the donation), or a donation amount that will be divided into monthly payments.  If you select this last option, we ask that you select a maximum of 12 monthly payments.

Thank you for your donation!

Campaign/Fund Information
Campaign/Fund * CPA-PAC
or Select a Different Fund
This Site Secured By SSL Encryption
Donation Information
Donation Amount *

NOTE:
The minimum donation amount is $10.00
Payment Method * Credit Card
Donation Type *


Number of Payments *  
CPA PAC Donation Only: Employer
Required field for CPA-PAC donations. If self-employed, please enter "office of" and your full name.
CPA PAC Donation Only: Occupation
Required field for CPA-PAC donations.
CPA PAC Donation Only: Referred by



Degree *
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
     
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Billing Phone *

Validation Code: Answer this simple math problem to validate your submission:

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