Donation Form

* Required Fields

Donation Information
Amount
Type of Donation	One Time Donation Recurring Donation
Frequency
	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
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

The TEPC is a tax-exempt organization under 501(c)(3) of the U.S. Internal Revenue Code. Contributions are tax deductible to the extent allowed by law. The TEPC reserves the right to refuse or return any donation.

If you have any questions about your donation or donations in general, please contact us by email at [email protected], or by phone at (505) 340-6319.