Donate Recurring

Donate to Children’s Health Defense

This form is only for a monthly recurring donation. You can also make a one-time donation and/or become a member.

Please don’t hesitate contact us if you need assistance with donation or have any questions.

Children's Health Defense^® is a 501(c)(3) non-profit organization. Donations (including membership fee) are tax deductible to the full extent of the law.

Name*

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Email*

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Credit Card*

American Express

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MasterCard

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Card Number

Expiration Date

Security Code Cardholder Name

Are you a CHD member?*

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Membership Options*

Membership Fee

Price:

Donation Amount

Please enter your recurring amount which will be charged to your credit card on a monthly basis. If you're becoming a member, the $10 fee will only be charged once.

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Where are you located?*

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Int'l Phone

Address*

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Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Optional: Demographic Information

To determine how you may be able to help in our legal efforts and initiatives, we are requesting demographic information about you and your family.

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Your Age

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Do you have any children in these age groups?

You can select multiple fields.

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What is your occupation?

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Would you like to become a CHD volunteer?

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In what areas would you like to volunteer?*

You can select multiple fields.

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Please tell us about any special talents that you could provide as a volunteer?

Our promise to you:
Your personal information will only be used by Children's Health Defense and its California Chapter.

Thank you so much for supporting Children's Health Defense - California Chapter!

Comments

This field is for validation purposes and should be left unchanged.

Our promise to you:
Your personal information will only be used by Children's Health Defense and its California Chapter.

Thank you so much for supporting Children's Health Defense - California Chapter!

Donate Recurring

Donate to Children’s Health Defense

VACCINE INJURY

SECTION A

SECTION B

Section C

SECTION D

EMPLOYER MANDATE

SECTION A

SECTION B

VOLUNTEER SURVEY

School Mandate

SECTION A

SECTION B