United Palestinian Appeal

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Honor a Friend or Loved One with a Donation to UPA

By donating UPA in honor of a friend or loved one, you will help us reach more Palestinians in the areas where we work. Your gift can help provide a scholarship for a student studying in Palestine, support small businesses in Gaza, or provide vitamins to children in refugee camps in Jordan.

$5,000

$2,500

$1,000

$500

$250

$100

$50

$25

Other:

Choose A Frequency

Recurring Frequency:

In Honor Of

Honoree Name:

Additional Acknowledgment

Acknowledgment Type:

Display Amount on Acknowledgment:

Name:

E-mail:

Address:

City:

State:

Zip Code:

If your country does not use a postal code, please enter ‘00000’.

Donor Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

If your country does not use a postal code, please enter ‘00000’.

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *