Recurring Monthly Donation

Help give free Braille books, free Braille calendars, and more from the American Action Fund for Blind Children and Adults.

Intacct NMM or NGD ID

AAF Accounting Office Use Only

Donor Type*

Individual Organization

Please select the kind of donor.

Individual Name*

First Name

Last Name

Company Name*

I want to donate this amount each month to the American Action Fund for Blind Children and Adults*

$19.99 $50.00 $75.00 $100.00

Other Amount:

Make this a one-time donation, not a recurring monthly donation.

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Credit Card or Bank Account*

Credit Card Bank Account

Select if you want your monthly donation charged to your credit card or debited from your bank account.

Card Type*

Credit Card Number*

Credit Card Expiration Date*

Please enter the two digit month / two digit year, for example 01/22

CVV*

This is a three digit number on the back of a Visa, MasterCard, or Discover card. It is a four digit number on the front of the American Express card.

Is your billing address the same as the address entered above?

Yes No

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Bank Name*

Type of Bank Account*

Checking Account Savings Account

Please select type of bank account.

Bank Account Number*

Reenter Bank Account Number*

Bank Routing Number*

9 digit number

By causing this form to be submitted, I authorize American Action Fund for Blind Children and Adults (AAF) to debit the bank account or charge the credit card for the dollar amount I have indicated. If my donation is monthly, I understand that the debit will occur monthly on the 5th of each month until I make a change. If the payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day.

I heard about the American Action Fund for Blind Children and Adults on television.

Yes No

Direct questions to outreach@actionfund.org or call (410) 659-9315