Donation Form

To donate online, please use the form below.

To give by check, mail checks payable to:
New York City Relief
295 Walnut Street
Elizabeth, NJ 07201
Please Complete All Information
Donation Type:  
Donation amount: $ U.S. Currency    
If your donation is for staff designation, please include the name of the staff member here.
If you are giving as part of an event or in memory of someone, please state the purpose below.
 
Please Choose One of These Payment Options
Card Type:
 
Expiration Date:
   
Credit Card Number:
 
CVV: Click Here for Help.  
 
Click Here for Help.
Account Type:
 
Account Sub-Type:
 
Routing Number:
 
Account Number:
 
* All donations provided to The Relief Bus comply with U.S. laws and regulations.
Please Enter Your Contact Information Below
All fields marked with an "*" are required to complete your donation.
Prefix:
First Name:*  
Middle Initial:
Last Name:*  
Suffix:
Company Name:
Title/Position:
E-mail:*    
Confirm E-mail:*      
Street Address Line 1:*  
Street Address Line 2:
City:*  
U.S. State:*  
Postal Code:*  
Cell Phone:* () -            
 
If you reside outside the United States, please complete the following section.
Country:*  
Province/Territory:
International Phone:
If you would like to update or cancel a recurring gift, or have questions, please contact us at give@reliefbus.org
Your gifts are tax-deductible. No goods or services are provided in exchange for money given. An end of the year receipt will be mailed the following year in January acknowledging your contributions. All gifts are non-refundable.
Privacy Policy
Your privacy is important to us. To better protect your privacy we provide this notice explaining our online information practices and the choices you can make about the way your information is collected and used. This notice applies to all information collected or submitted on the website. On some pages, you can donate online. The types of personal information collected on these pages are: Name, Business name, Address, Email address, Phone number, Credit Card Information. We use the information you provide about yourself and others to contact you about your donation. We do not share this information with outside parties other than necessary to process the transaction. We never use or share the personally identifiable information provided to us online in ways unrelated to the ones described above without also providing you an opportunity to opt-out or otherwise prohibit such unrelated uses.

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