This form may be used to make donations to the Red Cross, as well as to make payments for courses or activities in which you plan to participate.

The American Red Cross is not a government agency and all Red Cross disaster assistance is free thanks to the generosity of people like you. The value of your donation is increased by the fact that the ratio of volunteer Red Cross workers to paid staff is almost 36 to one.

Contributions to the American Red Cross, a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, are deductible for computing income and estate taxes.



  Please enter name and address as shown on Credit Card
  1. Contact Information
  Please provide an email address to receive an online acknowledgement of your gift.
  E-mail Address:
  
  Title:
  
  First Name:
  
  MI:
  
  Last Name:
  
  Suffix:
  
  Company Name:
  
  Address Line 1:
  
  (e.g. 1234 Main St Apt 102)
  Address Line 2:
  
  City:
  
  State:
  
  Zip/Postal Code:
  
  (e.g.xxxxx-xxxx)
  Country:
  
  Daytime Phone:
  
  Evening Phone:
  
  (Example US: (###)###-####x####; Intl: +##-####-####-)
  2. I want to make a contribution
   Yes   No
  Select ONE of the following:
  
  Amount:
   $
  (U.S. Dollars)
  Comments:
  
  3. I want to pay for my Education / Training class(es) online.
   Yes   No
Course Title Qty. Price Total
  Grand Total
  Payment does not guarantee course registration. Please register online to reserve your place.
  4. Credit Card Information
  Credit Card Number:
  
  Select Card Type:
  
  Expiration Date:
  
  

If you experience any problems donating, please contact the American Red Cross Southwest Louisiana Chapter at 337-478-5122.

 











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