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Donation form

Donation Form

Thank you for choosing Evidence Action for your contribution. Completing this form enables us to efficiently designate and acknowledge your donation.

First Name

Last Name

Organization Name

(for donations made on behalf of an organization or corporation)

Organization Email

(for donations made on behalf of an organization or corporation)

Donation amount

If not USD, please specify other currency

Payment method

Other payment method

Stocks

Please include the number and type of shares we should expect

DAF sponsor

DAF sponsor name

Restrict my donation?

If you would like to remain anonymous, check this box.

If you would like to dedicate your donation in honor or in memory of someone, please provide their name. If you provide their email, we will notify that person.

Dedicate my donation in honor or memory of someone

Dedication name

Dedication email (optional)

Street address

Please enter your mailing address

City

State/Territory

Postal Code

Country

Phone

How did you hear about us?

Please specify

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