Patriot Membership

Amount 1
Your Info 2
Payment 3

Choose Frequency:

One-time Monthly

$10 $120 Other

First Name

Last Name

Country

Address

City

Postal Code

Phone

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Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

Credit Card

I’ll cover the processing fee - add it to my donation.

$120.00

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Patriot Membership

1. Amount

2. Your Information

3. Payment Information