Donate to Uzhhorod Donation Form Uzhhorod Donation Form "*" indicates required fields CSCA-Uzhhorod Council On-Line Donation Form Optional: Send donation by Mail: CSCA-Uzhhorod Council, P.O. Box 176, Corvallis, Or. 97339Name* First Last Address* Street Address Address Line 2 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 Email* PhoneDonate Amount* Purpose of Donation (Please Read)Let us know if you would like your donation to go to a specific program. Otherwise, your donation will go to the area of most need. Thank you for your kind donation. CommentAs always, CSCA-Uzhhorod Council thanks you for your generous donation.Total Donation Option I'll pay credit card fees so 100% goes to CSCA. Credit Card Fees Price: $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
