Donate

AIHA®

Welcome,

This form is to be used to make donations either to the AIHF or the AIHA Guideline Foundation. If you would like to make a contribution to the Guideline Foundation, select "ERPG Donations" (top of the list). For the AIHF, select any of the other listed scholarships below.

Both the AIHF and AIHA Guideline Foundation are exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code. Contributions to either may be tax-deductible, as provided by law.

Fund *

Amount *

Start Date

Expected format: MM/DD/YYYY

End Date

Expected format: MM/DD/YYYY

First Name *

Last Name *

Email *

Payment Options

Payment Type *

State/Province and Postal Code are only required when country is either United States of America or Canada.

Card Number *

Security Code *

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Expiration Month *

Year

Card Holder *

Billing Address Street 1 *

Billing Address Street 2

City *

State / Province *

Postal Code *

Country *

Province

Save Payment Information

(You must save your account information for recurring donations. Don't worry; we'll keep it safe.)

Account Name

This new saved account will replace any existing saved accounts already allocated for fundraising automatic withdrawals.

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Frequency Recurring

Frequency Installments

Additional Information

Contact Information

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Fund Information