Donate On-line



	*Use this form to make a donation to the Congress of Racial Equality.* *Receipt of your donation will be acknowledged to the E-Mail or mailing address provided.*

(asterisk * denotes a required field)

Please provide the following information then click the CONTINUE button:

*Mr./Ms.*	* First Name: * Last Name:
* Mailing Address:	*Floor/Suite:*
* City:	* State: * Zip Code:
*Occupation:*
*Company/School:*
*Work Phone:*	*Home Phone:*
*Cell Phone:*	*Pager:*
*Fax Number:*	*E-mail:*

Enter Amount

* Enter or select the amount you wish to donate then click the CONTINUE button:

$25.00

$50.00

$100.00

$500.00

$1000.00

Other Amount - (enter amount below)

* Enter donation amount:

Payment Method

Please select your method of payment:


CREDIT CARD	PAYPAL	CHECK	PLEDGE
*Please complete the form below*	*You must have an existing PayPal Account*	*Mail your check to the address below*	*A pledge reminder will be sent to you via mail*

(Click on your choice)

Thank You !

You have chosen to make your donation by credit card:

Please complete this form then click the CONTINUE button:

* Amount to be Charged:

$

             Enter total amount

* Credit Card:

             Select type of card

* Cardholder's Name:
             Enter name on card

* Credit Card Number:
             Enter card number

* Expiration Date:    -- (mm/yyyy)
             Enter expiration date

By submitting this form, you are representing that the credit card entered is valid; that you are authorized to use this credit card and, you are voluntarily giving CORE permission to charge this credit card for the amount indicated.

Thank You !

You have chosen to make your donation by Check or Money Order:

Please write down this information then click the CONTINUE button:

*Make check or money order payable to:*	CORE - Congress of Racial Equality
*Check Amount:*	$

*And mail it to:*	Congress of Racial Equality
	817 Broadway 3rd Floor
	New York, New York 10003

	Attn: Donation On-Line

Thank You !

You have chosen to pledge a donation to CORE: Pledge: $

Please select one of the following options then click the CONTINUE button:

Mail the donation pledge to me at the address already provided above

Mail the donation to the following address:

Mr/Mrs:	First Name: Last Name:
Company Name:
Mailing Address:	Suite/Floor:
City:	State: Zip Code:

Have someone contact me regarding my donation at:

Telephone #: Best time to call is between: and (indicate AM or PM)

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You have chosen to pay your membership fee by PAY PAL:

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COMING SOON!

Please select another form of payment

Review Choices

Please Review the choices you have made

Please review, make any corrections and complete the required fields. When finished click the CONTINUE button:

Donation Amount:
Method of Payment:
Pledge Option:

Thank You !

Enter any comments here then click the SUBMIT FORM button:

CORE enjoys a 501(C)3 status with the Internal Revenue Service.

Contributions to CORE are tax deductible to the extent allowed by law.

Information on this form is confidential and will be transmitted over a secured line

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