Below here goes the CiviCRM donation forms.

Donate to the New Jersey Universal Healthcare Coalition

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This page is currently running in test-drive mode. Transactions will be sent to your payment processor's test server. No live financial transactions will be submitted. However, a contact record will be created or updated and a test contribution record will be saved to the database. Use obvious test contact names so you can review and delete these records as needed. Test contributions are not visible on the Contributions tab, but can be viewed by searching for 'Test Contributions' in the CiviContribute search form. Refer to your payment processor's documentation for information on values to use for test credit card number, security code, postal code, etc.

By donating to the NJ Universal Healthcare Coalition, you will be helping tremendously in our efforts to advance Single Payer Health Plan legislation in NJ. Your contribution will go directly towards supporting the fight for quality healthcare for ALL NJ residents!

To donate by check, fill out the information below and select "I will send payment by check" under Payment Options. A mailing address will be displayed when you click "Contribute." Donations made here support our political work, and are not tax-deductible.

Total Amount
 
every month
 
 
On Behalf Of Organization
Honoree Information
 
Select an option to reveal honoree information fields.
Donor Info: NJUHC
Payment Options
 
[x] I will send payment by check

New Jersey Universal Healthcare Coalition
Healthcare-NOW! administers Single Payer Now's donations. Therefore, Healthcare-NOW! will show up on your credit card statement. 15% of your donation will support Healthcare-NOW's technical assistance to groups such as the NJUHC; the other 85% will support NJUHC directly.

Contact
Healthcare-NOW! - 215-732-2131 - info@healthcare-now.org - 9A Hamilton Place, Boston, MA 02108
New Jersey Universal Healthcare Coalition - njuniversalhealthcare@gmail.com - c/o Elaine Herzog, 228 Graham Street Highland Park, NJ 08904

Privacy Policy
The New Jersey Universal Healthcare Coalition respects the privacy of our members, supporters and all visitors to our web site. Information provided voluntarily by you will never be sold, rented, exchanged or otherwise disclosed to any other organization, except our affiliate, Healthcare-NOW.

Refund Policy
All donations are final. Healthcare-NOW! is a non profit 501(c)(4) organization. Donations made here support the political work of the NJUHC and are not tax-deductible.

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