Our Family Coalition Thank You for Donating! Your Generosity Helps Protect & Support LGBTQ Families! DONATION INFORMATION Donation Amount: This is a one time donation Make this a recurring donation deducted Weekly Every 2 Weeks Monthly Every 2 Months Quarterly Every 6 Months Annually End Date: CONTACT INFORMATION First Name: Last Name: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavat Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip Code: - Email: Phone: EMPLOYER MATCH YES, my employer has a matching program! Company Name: ACKNOWLEDGEMENT INFORMATION How would you like your donation to be listed in print and online materials? Comments: If you would like to manage your account (i.e., view donation history, change address, how you hear from OFC, etc.), please create a login name and password. Questions about your donation? Please email Jenny Raviv on our Development team.
