Donor details Please make sure to include the billing address where the card statements are sentFirst name *Last name *Company name (optional)Country / Region *United States (US)Street address *Apartment, suite, unit, etc. (optional)Town / City *State / County * Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)Postcode / ZIP *Email address * I would like to receive emails from Berks Encore. (optional)Phone *Stay connected! Check the boxes to receive important updates and special announcements.Cellphone (optional) I would like to receive text messages from Berks Encore. (optional)If you are purchasing this for someone else, please provide their name: (optional)Please provide their address: (optional)Invoice Number (optional) Additional information Donation notes (optional) Your donation Donation Amount $0.00 Credit Card Pay securely using your credit card.Payment InfoCard Number *Expiration (MM/YY) *Card Security Code * Please activate JavaScript to continue with your donation. Update totals Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy. Renew subscription
