Industry Free | Action on Smoking and Health

Choose a payment option:

Credit/Debit Card

Bank Transfer

First Name

Last Name

Make donation anonymous

This donation is on behalf of a company

Phone

Address

Address 2

Postal Code

City

State / Province

Subscribe to our mailing list to receive updates from us. You can unsubscribe anytime.

Optionally add to cover processing fees

One-timeMonthly

Please fix the errors above.

By using Apple Pay, you will provide your name, e-mail and address.

By using Google Pay, you will provide your name, e-mail and address.

Save my information for future donations.

CARD PAYPAL BANK TRANSFER Direct Debit

Card Number

MM / YY

CVC Code

The 3-4 digits on the back of your credit card

Billing ZIP Code

Enter the Zip/Postal code for your credit card billing address

By clicking Donate, you authorise ASH.ORG to debit the bank account that you connect to for any amount owed for charges arising from your use of ASH.ORG’ services and/or purchase of products from ASH.ORG, pursuant to ASH.ORG’ website and terms, until this authorisation is revoked. You may amend or cancel this authorisation at any time by providing notice to ASH.ORG with 30 (thirty) days notice.

If you use ASH.ORG’ services or purchase additional products periodically pursuant to ASH.ORG’ terms, you authorise ASH.ORG to debit your bank account periodically. Payments that fall outside the regular debits authorised above will only be debited after your authorisation is obtained.

Bank Name

Account Type

Account Last 4

Donate from your bank using Plaid, a secure and encrypted bank transfer service.

Bancontact

You didn't choose the bank name.

By providing your payment information and confirming this payment, you authorise (A) Action on Smoking and Health and Stripe, our payment service provider, to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with those instructions. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank. You agree to receive notifications for future debits up to 2 days before they occur.

iDEAL

You didn't choose the bank name.

Sofort

You didn't choose the country.

SEPA Debit

IBAN

In compliance for SEPA Direct Debit network regulations the following billing address fields are mandatory.

Billing Address

Billing City

Billing Postal Code

Create a donor account to manage my donations and donate again faster.

Optionally add to cover processing fees

You can log in to edit your recurring donation any time

One-timeMonthly

One-timeMonthly