Payment for Donation

Please enter information on this form to make payment for Donation . The amount you need to pay is $0.00 .

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Thank you for Your Generosity!

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PayPal account. Just check out WHILE ON PAYPAL as a guest.

CalTIPA is an IRC section 501(c)(3) tax exempt non-profit. Donations are tax-deductible.

First Name *

Last Name *

Organization

Address *

Address2

City *

State *

We apologize but for the moment we can only accept donations from the following states:
CA, TX

Zip *

Phone *

Email *

Amount *

Comment

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Total Amount

Payment method

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*