Texas Impact Group Membership

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Amount

$20 Group ($50) Congregation ($100) $500 $2,500 Other $

Make this contribution: Frequency (Optional)

I'd like to help cover the transaction fees for my contribution. My total amount will be $103.45.

Details

Organization Name

Street Address

Postal Code City State/Province

Organization Email (Optional) Organization Phone (Optional)

Prefix (Optional) First Name Middle Name (Optional) Last Name

Email Home Phone (Optional)

Mobile Phone (Optional)

(Optional)

Payment

Card Number

Expiration Date

Remember me so that I can use FastAction next time.

Finish

Denomination

Church or Congregation

Which issues are you most passionate about? (Optional)
Which issues are you most passionate about? is required.

Immigration

Health

Civil Rights

Climate & Energy

Public Education

Hunger & Poverty

Other Other (Optional)

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