Sponsored Film: Anne Lewis' A Strike and an Uprising

$25 - Lewis Project

$50 - Lewis Project

$100 - Lewis Project

$250 - Lewis Project

$1000 - Lewis Project

Lewis Project- Custom Amount

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Make this donation anonymously

Display my Name as:

Your public posted comment:

Full Name

All donor names and email addresses are given to the filmmaker at their request unless the donor wishes to remain anonymous to the filmmaker. Please select an option: *

I do not wish to share my name and email with the filmmaker.I am OK with my name and email being shared with the filmmaker should they request the information.

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

Send Postal Mail acknowledgement:

Payment Details

Credit Card

Routing Number: *

Account Number: *

Check Number: *

Account Type: *

Check Type: *

Name on Card: *

Credit Card Number: *

Card Verification (CVV): *

?

Expiration Date: *

CardExpirationYear

Invoice Number:

Purchase Order Number:

Name: *

Reference Number:

Total Gift:

$0

Secured and Powered by Click&Pledge

Your donation:

Honor/Memorial Gifts

Total Gift:

Processing...