Below here goes the CiviCRM donation forms.

Donate to the New Jersey Universal Healthcare Coalition

Test-drive Your Contribution Page

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

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