Happy Birthday Monthly Donations Achievement Center of Texas is a 501(c)(3) Texas Corporation. Recurring Birthday Donation Amount*I would like to make a monthly contribution in the amount shown below. Please enter as dollars and cents. Your contribution will be made on the same day of the month for the next 11 months. TotalThis is the total amount for your donation. $0.00 Email* Email Future Use Consent*Please select "No" if you would not like to receive future email from us. This will not change previous choices if you are currently receiving email from us. Yes No Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please provide a telephone number so we can contact you if additional information is needed.Additional InformationCredit CardCard Details Cardholder Name EmailThis field is for validation purposes and should be left unchanged.
