NARF Formulario de Procesamiento de Donación
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SIERRA LEONE
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SPAIN
ST. HELENA
ST. KITTS-NEVIS-ANGUI LLA
ST. LUCIA
ST. PIERRE AND MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAM
SVALBARD and JAN MAYEN IS.
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
"TAIWAN, PROVIDENCE OF CHINA"
TAJIKISTAN
"TANZANIA, UNITED REPUBLIC"
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS and CAICOS ISLANDS
TUVALU
U.S. MINOR OUTLYING ISL.
UGANDA
UKRAINIAN SSR
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
URAGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE
VENEZUELA
VIETNAM
VIRGIN ISLANDS BRITISH
VIRGIN ISLANDS US
WALLIS AND FUTUNA IS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
Dedicaci�n Mensaje:
Informaci�n de facturaci�n
Igual que Datos de contacto
Nombre de pila:
Apellido:
Empresa:
Tel�fono:
Direcci�n:
Direcci�n 2:
Email:
Ciudad:
Estado (s�lo EE.UU.):
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
C�digo Postal:
Pa�s:
UNITED STATES
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA
APHGANISTAN
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZIGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHACOS (KEELING) ISLAND
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
"CMEROON, UNITED REP."
COLUMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
COTED'IVOIRE
CROATIA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EL SALVADOR
EQUATORIAL GUINEA
ESTONIA
ETHIOPIA
FAEROE ISLANDS
FALKLAND ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORY
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTER
GRECE
GREENLAND
GRENADA
GUADALUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD and MCDONALDS ISLAND
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
"KOREA, REPUBLIC OF"
KUWAIT
KYRGYZSTAN
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTNSTIEN
LITHUANIA
LUXEMBOURG
MACAU
MALAYSIA
MALDIVES
MALI
MALTA
MANACO
MARSHALL ISLANDS
MATINIQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLAND
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPAU NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLAND
POLAND
PORTUGUL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FERERATION
RWANDA
SAMOA
SAN MARINO
SAN TOME AND PRICIPEL
SAUDI ARABIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SPAIN
ST. HELENA
ST. KITTS-NEVIS-ANGUI LLA
ST. LUCIA
ST. PIERRE AND MIQUELON
ST. VINCENT AND THE GRENADINES
SUDAN
SURINAM
SVALBARD and JAN MAYEN IS.
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
"TAIWAN, PROVIDENCE OF CHINA"
TAJIKISTAN
"TANZANIA, UNITED REPUBLIC"
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS and CAICOS ISLANDS
TUVALU
U.S. MINOR OUTLYING ISL.
UGANDA
UKRAINIAN SSR
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
URAGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE
VENEZUELA
VIETNAM
VIRGIN ISLANDS BRITISH
VIRGIN ISLANDS US
WALLIS AND FUTUNA IS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE
Donation Dedication Message:
M�todo de pago
Tipo de tarjeta:
Visa
Mastercard
American Express
N�mero de tarjeta:
Exp Mo:
01
02
03
04
05
06
07
08
09
10
11
12
Exp a�o:
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Donaci�n
(deducible de impuestos):
C�digo CSC:
Donaciones recurrentes
Click here for recurring donations
Intervalo:
Monthly
Quarterly
D�a del mes:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Elija el d�a del mes (d�as que quedan despu�s de que el �ltimo d�a del mes se procesar�n en el �ltimo d�a del mes)
Duraci�n del Tiempo:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
donaci�n Vigentes
Elija el n�mero de donaciones recurrentes a realizar
Si usted elige hacer donaciones recurrentes, el monto de la donaci�n ser� procesada hoy y la donaci�n recurrente se iniciar� en la pr�xima fecha especificada por sus elecciones anteriores
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