Fall Membership Drive
47% Complete
Raised: $17,740 | Target: $37,500
Fundraising stats: 53% left
Raised:
$17,740
| left:
$19,760
Become a CHIRLA Member Today!
Join an Organization with 7000 Members and growing in California
Joint Membership (CHIRLA and CHIRLA Action Fund)-$25
Opt-Out of CHIRLA Action Fund Membership-$25
Replacement Photo ID-$10
Contribution
Make a donation Header
Secured payment
Make This Donation:
One time only
Yearly
Schedule my Payment to repeat:
for
periods.
Pay in installments:
Divide my total into
payments.
Until I cancel it
Payment Detail
First Name *:
Middle Initial :
Last Name *:
Email *:
Country *:
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Democratic Republic of the)
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (the former Yugoslav Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (U.S.)
Virgin Islands (British)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Address1 *:
City *:
State *:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
Virgin Islands
United States Minor Outlying Islands
Armed Forces Europe
Armed Forces Americas
Armed Forces Pacific
State/Province :
Zip Code
*
:
Phone *:
Make this donation anonymous
Display my Name as :
Your public comment (Optional):
Contact Information
Sex :
Female
Male
other
Other :
Phone Communication
Mobile Phone Number :
Text Message Opt Out :
Yes
Social Media
Facebook :
Twitter :
Services
Interested in :
DACA
DAPA
Naturalization
Volunteer
Register to Vote
Student Information
Other :
Voter
Yes I am a registered Voter :
Yes
Payment Type
Credit Card
eCheck
Custom
Invoice No *:
Purchase Order No *:
Routing Number *:
Account Number *:
Account Type *:
Savings Account
Checking Account
Check Type *:
Company
Personal
Check Number *:
Name *:
Reference Number:
We gladly accept...
Name on Card *:
Credit Card Number *:
Expiration Month *:
January (01)
February (02)
March (03)
April (04)
May (05)
June (06)
July (07)
August (08)
September (09)
October (10)
November (11)
December (12)
Expiration year *:
Card Verification (CVV) *:
I agree with the terms and conditions
Processing...
Alert
Thank You for your contribution!
Transaction Result:
Order Number:
Gateway Transaction Number:
Authorization Code:
Back to previous page
<img width="1" height="1" src="https://connect.clickandpledge.com/img/1x1.gif?m=140200&s=612edad5ea204273b00765a036323c1a" />