Foundation Online Payments Where would you like us to apply these funds?* Capitol Campaign Endowment Auxiliary COVID-19 Relief Fund Do you want the donation made in honor or memory of a loved one? If so, please list name of person you would like to honor. Please Note: Our payment system is not yet capable of automatic calculations.You will need to enter the total amount in the Amount box of the payment form. Our payment system requires that your name, address, and zip code match the information on your credit card statement. Please enter your information carefully and accurately to avoid any rejection of payment. Thank you! Contact InformationFirst Name* Last Name* Address* Street Address City State / Province / Region ZIP / Postal Code Email* Phone*Donation Amount* Total $0.00 Please enter your payment information below.Credit Card Information American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Expiration Date Security Code Cardholder Name Δ
