Donation Form

* Required Fields

Donation
Amount
	Complete the following fields if this gift is a tribute. (optional)
Type of Tribute
Tribute Name
Title
First Name
Last Name
Address
Address 2
City
State/Province
Zip/Postal Code
Email

Contact Information
* First Name
* Last Name
Company Name
* Address
* City
* State/Province
* Zip/Postal Code
* Country		Home Phone
Work Phone
* Email

Payment Information
Payment Options

Credit Card Information
Card Holder Name

Card Account Number
Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

Billing Address
Same As Above
* Address
City
State/Province
* Zip/Postal Code
Email

Romanian League in Defense of Animals, Inc(ROLDA) is recognized as a nonprofit organization by the IRS.
IRS Code: Section 501(c)(3)
Tax Identification Number: 32-0176929

Contributions to Romanian League in Defense of Animals, Inc(ROLDA) are tax-deductible to the extent permitted by law.

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