Choose amount
Personal info
Payment
Donate
$
500
provides $30,000 worth of medicine
$
250
provides $15,000 worth of medicine
$
100
provides $6,000 worth of medicine
$
50
provides $3,000 worth of medicine
$
25
provides $1,500 worth of medicine
$
Type custom amount
Designation
Hurricane Matthew:4001-001:E1610R
One-time
Monthly
You can login to edit your recurring donation at anytime
First Name
Last Name
Email
Address
Postal Code
City
State / Province
Choose your country
Choose your state / province
Optionally add
to cover processing fee
CREDIT CARD
PAYPAL
Card Number
Expiration
MM / YY
CVC Code
The 3-4 digits on the back of your credit card
Billing Postal Code
Enter the Zip/Postal code for your credit card billing address
*
You can login to edit your recurring donation at anytime
You will be redirected to Paypal.com
