Become a Patriot Partner | Act For America

To contact the donor department, please click here. Please note, we do not accept Discover Card.

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$ 20.00

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Your recurring contribution will be processed automatically. You will receive an email receipt for each recurring contribution.

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Email Address *

Phone (Primary) *

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Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Number & Street Name *

Suite /APT No.

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Postal Code *

Please click the contribute button once. Clicking more than once may result in multiple charges.