CINXE.COM

<!DOCTYPE html>    <html lang="en"> <head profile="http://www.w3.org/1999/xhtml/vocab"> <meta name="HandheldFriendly" content="TRUE" /> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=5" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta property="og:title" content="Donate Now!" /> <meta property="og:description" content="" /> <link rel="shortcut icon" href="https://action.aarp.org/files/aarp/favicon%20%281%29.ico" type="image/vnd.microsoft.icon" /> <script>if (Function('/*@cc_on return document.documentMode===10@*/') ()) { document.documentElement.className+=' ie10'; } var isIE11 = !!navigator.userAgent.match(/Trident\/7\./) if (isIE11 == true) { document.documentElement.className += ' ie11'; } </script> <script> ;(function(win, doc, style, timeout) { var STYLE_ID = 'at-body-style'; function getParent() { return doc.getElementsByTagName('head')[0]; } function addStyle(parent, id, def) { if (!parent) { return; } var style = doc.createElement('style'); style.id = id; style.innerHTML = def; parent.appendChild(style); } function removeStyle(parent, id) { if (!parent) { return; } var style = doc.getElementById(id); if (!style) { return; } parent.removeChild(style); } addStyle(getParent(), STYLE_ID, style); setTimeout(function() { removeStyle(getParent(), STYLE_ID); }, timeout); }(window, document, "body {opacity: 0 !important}", 3000)); ;(function(win, doc, style, timeout) { var STYLE_ID = 'at-body-style'; function getParent() { return doc.getElementsByTagName('head')[0]; } function addStyle(parent, id, def) { if (!parent) { return; } var style = doc.createElement('style'); style.id = id; style.innerHTML = def; parent.appendChild(style); } function removeStyle(parent, id) { if (!parent) { return; } var style = doc.getElementById(id); if (!style) { return; } parent.removeChild(style); } addStyle(getParent(), STYLE_ID, style); setTimeout(function() { removeStyle(getParent(), STYLE_ID); }, timeout); }(window, document, "body {opacity: 0 !important}", 3000)); </script>  <script> !function(f,b,e,v,n,t,s) {if(f.fbq)return;n=f.fbq=function(){n.callMethod? 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By donating to AARP today - you can be a part of this movement.</strong></p> <p><strong>Make your contribution today. Your support will help AARP in our fight to secure the health and financial security that all Americans deserve.</strong></p></div></div></div><div class="field field-name-field-background-image field-type-image field-label-above"><div class="field-label">Background Image: </div><div class="field-items"><div class="field-item even"><img typeof="foaf:Image" src="https://action.aarp.org/files/aarp/default_images/1140-member-benefits-foremost-insurance-motorcycle-couple.jpg" width="1140" height="655" alt="" /></div></div></div><div class="field field-name-field-page-site-title field-type-list-text field-label-above"><div class="field-label">Page Site Title: </div><div class="field-items"><div class="field-item even">AARP</div></div></div><form class="webform-client-form form-layouts one-column fundraiser-donation-form" enctype="multipart/form-data" action="/ADV_Donation_Form" method="post" id="webform-client-form-1923" accept-charset="UTF-8"><input type="hidden" name="submitted[ms]" value="" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donation"><legend><span class="fieldset-legend">Your Gift</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurs-monthly"> <div id="edit-submitted-donation-recurs-monthly"><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-1" name="submitted[donation][recurs_monthly]" value="NO_RECURR" checked="checked" /> <label class="option" for="edit-submitted-donation-recurs-monthly-1">One Time </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-2" name="submitted[donation][recurs_monthly]" value="recurs" /> <label class="option" for="edit-submitted-donation-recurs-monthly-2">Monthly </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount"> <div id="edit-submitted-donation-amount"><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="25" /> <label class="option" for="edit-submitted-donation-amount-1">$25 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="50" checked="checked" /> <label class="option" for="edit-submitted-donation-amount-2">$50 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="100" /> <label class="option" for="edit-submitted-donation-amount-3">$100 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="250" /> <label class="option" for="edit-submitted-donation-amount-4">$250 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="500" /> <label class="option" for="edit-submitted-donation-amount-5">$500 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-6" name="submitted[donation][amount]" value="other" /> <label class="option" for="edit-submitted-donation-amount-6">Other </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurring-amount"> <div id="edit-submitted-donation-recurring-amount"><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-1" name="submitted[donation][recurring_amount]" value="10" /> <label class="option" for="edit-submitted-donation-recurring-amount-1">$10/monthly </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-2" name="submitted[donation][recurring_amount]" value="20" checked="checked" /> <label class="option" for="edit-submitted-donation-recurring-amount-2">$20/monthly </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-3" name="submitted[donation][recurring_amount]" value="30" /> <label class="option" for="edit-submitted-donation-recurring-amount-3">$30/monthly </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-4" name="submitted[donation][recurring_amount]" value="40" /> <label class="option" for="edit-submitted-donation-recurring-amount-4">$40/monthly </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-5" name="submitted[donation][recurring_amount]" value="50" /> <label class="option" for="edit-submitted-donation-recurring-amount-5">$50/monthly </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-6" name="submitted[donation][recurring_amount]" value="other" /> <label class="option" for="edit-submitted-donation-recurring-amount-6">Other </label> </div></div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--recurring-other-amount"> <label for="edit-submitted-donation-recurring-other-amount">Other </label> <div class="field-prefix">$</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-recurring-other-amount" name="submitted[donation][recurring_other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment $5.00.</div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount"> <label for="edit-submitted-donation-other-amount">Other </label> <div class="field-prefix">$</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment $5.00.</div> </div></div></fieldset> <input type="hidden" name="submitted[cid]" value="701PU000007eYwbYAE " /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information"><legend><span class="fieldset-legend">Billing Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name"> <label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name"> <label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required" /> </div></div></fieldset> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information"><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address"> <label for="edit-submitted-billing-information-address">Address <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2"> <label for="edit-submitted-billing-information-address-line-2">Address Line 2 </label> <input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" class="form-text" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip"> <label for="edit-submitted-billing-information-zip">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label> <input class="input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" /> </div><div id="zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state"> <label for="edit-submitted-billing-information-state">State/Province <span class="form-required" title="This field is required.">*</span></label> <select id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" class="form-select required"><option value="" selected="selected">- Select -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value=" ">--</option><option value="AA">Armed Forces (Americas)</option><option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option><option value="AP">Armed Forces (Pacific)</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option></select> </div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city"> <label for="edit-submitted-billing-information-city">City <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" /> </div></div></fieldset> <div class="form-item webform-component webform-component-email control-group" id="webform-component-mail"> <label for="edit-submitted-mail">E-mail address <span class="form-required" title="This field is required.">*</span></label> <input class="email form-text form-email required" type="email" id="edit-submitted-mail" name="submitted[mail]" size="60" /> </div><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information"><legend><span class="fieldset-legend">Payment Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method"> <label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label> <div id="edit-submitted-payment-information-payment-method"><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="paypal" checked="checked" /> <label class="option" for="edit-submitted-payment-information-payment-method-1">PayPal </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="credit" /> <label class="option" for="edit-submitted-payment-information-payment-method-2">Credit Card </label> </div></div> </div><div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields"><fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal"><div class="fieldset-wrapper"><div id="payment-details" class="form-wrapper"><div id="braintree-payment-form-outer"><div class="braintree-payment-form form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal-braintree-new"><div id="paypal-container" class="form-wrapper"><div id="braintree-paypal-loggedin" class="form-wrapper"><span id="bt-pp-name">PayPal</span><span id="bt-pp-email"></span><button id="bt-pp-cancel">Cancel</button></div></div></div></div></div><input type="hidden" name="braintree[errors]" value="" /> <input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_last4]" value="" /> </div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit"><div class="fieldset-wrapper"><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number </label> <input class="input-large form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128" /> </div><div class='expiration-date-wrapper clear-block'><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date </label> <select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]"><option value="1">January</option><option value="2">February</option><option value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11" selected="selected">November</option><option value="12">December</option></select><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]"><option value="2024" selected="selected">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option><option value="2036">2036</option><option value="2037">2037</option><option value="2038">2038</option><option value="2039">2039</option></select> </div></div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV </label> <input class="input-small form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128" /> </div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][credit][account_name][credit]" value="AARP.ORG" /> <input type="hidden" name="submitted[payment_information][payment_fields][credit][radar_session]" value="" /> </div></fieldset> </div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="" /> <input type="hidden" name="submitted[payment_information][bacs_disclaimer_text]" value="" /> <input type="hidden" name="submitted[payment_information][eft_disclaimer_text]" value="" /> </div></fieldset> <input type="hidden" name="submitted[referrer]" value="" /> <input type="hidden" name="submitted[initial_referrer]" value="" /> <input type="hidden" name="submitted[search_engine]" value="" /> <input type="hidden" name="submitted[search_string]" value="" /> <input type="hidden" name="submitted[user_agent]" value="" /> <input type="hidden" name="submitted[springboard_cookie_autofilled]" value="disabled" /> <input type="hidden" name="submitted[content_override_id]" value="" /> <input type="hidden" name="submitted[device_type]" value="" /> <input type="hidden" name="submitted[device_name]" value="" /> <input type="hidden" name="submitted[device_os]" value="" /> <input type="hidden" name="submitted[device_browser]" value="" /> <input type="hidden" name="submitted[origin_nid]" value="" /> <input type="hidden" name="submitted[origin_form_name]" value="" /> <input type="hidden" name="submitted[secure_prepop_autofilled]" value="0" /> <input type="hidden" name="submitted[utm_source]" value="" /> <input type="hidden" name="submitted[gs_flag]" value="0" /> <input type="hidden" name="submitted[utm_medium]" value="" /> <input type="hidden" name="submitted[field_sbp_referrer_long]" value="" /> <input type="hidden" name="submitted[utm_term]" value="" /> <input type="hidden" name="submitted[field_sbp_initial_referrer_long]" value="" /> <input type="hidden" name="submitted[utm_content]" value="" /> <input type="hidden" name="submitted[field_form]" value="" /> <input type="hidden" name="submitted[utm_campaign]" value="" /> <input type="hidden" name="submitted[field_form_url]" value="" /> <input type="hidden" name="submitted[eml_name]" value="" /> <input type="hidden" name="submitted[eml_id]" value="" /> <input type="hidden" name="submitted[social_referer_transaction]" value="" /> <input type="hidden" name="submitted[p2p_pcid]" value="" /> <input type="hidden" name="submitted[sbp_zip_plus_four]" value="" /> <input type="hidden" name="submitted[cmp]" value="" /> <input type="hidden" name="submitted[business_unit]" value="Advocacy" /> <input type="hidden" name="submitted[donation_type]" value="Donation" /> <input type="hidden" name="submitted[emailsrc]" value="" /> <input type="hidden" name="submitted[issue]" value="" /> <input type="hidden" name="submitted[sfmc_s]" value="" /> <input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="1" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-VOfBkcHUbCSI-uJYB1wBQEIKCxOvAM-Iok88kTGt6GA" /> <input type="hidden" name="form_id" value="webform_client_form_1923" /> <a name="payment-section"></a><input type="hidden" name="springboard_fraud_token" value="" /> <input type="hidden" name="springboard_fraud_js_detect" value="" /> <div class="fundraiser_submit_message"><img typeof="foaf:Image" src="https://action.aarp.org/sites/all/modules/springboard/fundraiser/modules/fundraiser_webform/images/padlock.png" alt="" />By clicking DONATE your credit card will be securely processed.</div><div class="form-actions form-wrapper" id="edit-actions"><input class="btn" type="submit" id="edit-submit" name="op" value="Donate" /></div><fieldset class="form-wrapper" id="edit-recent-donations-block"><div class="fieldset-wrapper"></div></fieldset> </form> </div> </div> </div> </div> </div> <div class="footer--print" style="text-align:center;"> <p><em>Prefer to give a gift through the mail? <a href="https://aarp.gospringboard.com/files/aarp/Advocacy_Online_Donation_Form_2022%20%281%29.pdf">Just click here to download and print a form</a>. You can return it to us at: AARP, PO Box 93162, Lakewood, CA 90809-3143.</em></p> <p><em>Contributions to AARP are not tax deductible for federal tax purposes.</em></p> </div> </div> </main></div> </div> <div id="home"></div> <div id="aarp-footer"></div> <div id="target"></div> <script type="text/javascript"> <![CDATA[//><!]]> </script> </body> </html>