One moment please...
AZ Tax Credit Donation - Credit Card
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
BE SURE TO CHECK YOUR EMAIL FOR YOUR IRS TAX RECEIPT.
Verify Email
*
Tax Credit Donation
*
$
Payment Type
*
Select your payment type. DO NOT USE THIS FORM IF PAYING BY CHECK. Please use AZ Tax Credit Donation - CHECKS ONLY
select one
PayPal
VISA, Master Card, Etc.
QTAX for what Tax year?
*
select one
2019
2020
2021
2022
2023
Add 3% to my total amount to help cover the payment processing fees
