Donations

Signup Form

By pledging your donation of $11.99 or more per month to the CHP 11-99 Foundation, you can continually help support our mission of caring for CHP families!

Monthly Promotional Levels*

Please select your desired level of giving per month and its corresponding item options, if applicable.

Commissioner Level ($100/mo)
Chief Level ($59.95/mo)
Captain Level ($47.96/mo)
Lieutenant Level ($35.97/mo)
Sergeant Level ($23.98/mo)
Officer Level ($11.99/mo)
Other Amount

Select UP TO four (4) items from the following:*

Fleece Blanket
Commissioner Cap (Black)
Commissioner Cap (Navy)
Luggage Tags (2)
Coffee Mugs (2)
Tile Coasters (2)
Travel Mugs (2)

Other amount to be charged monthly ($11.99 or more)*

Donor Name*

Prefix First Name Last Name Suffix

Donor Billing Address*

IMPORTANT: Address must match EXACTLY to credit card being used.

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Phone Type*

Email*

What prompted you to join the $11.99 monthly program?*

Name of Member (if known)

Event Name or Brief Description*

Other Explanation*

Are you a CHP Employee?*

Are you a scholarship recipient or alum?*

ALL INFORMATION IS KEPT STRICTLY CONFIDENTIAL.

(Note: Recurring payment may be canceled at any time; however, we ask that you please notify us at least 2 weeks prior to the payment date.)

Credit Card Information*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Please Confirm*

I authorize the CHP 11-99 Foundation to bill my credit card monthly, according to the specifications above.

Signature*

Comments

This field is for validation purposes and should be left unchanged.

Make a Donation

I want to make a:

Contact Information

Billing Information

Signup Form

ALL INFORMATION IS KEPT STRICTLY CONFIDENTIAL.

Support Law Enforcement Families This Holiday Season

Donations

Other Donation Links:

Donating by Check? Please make payable and mail to:

We Exist Because a CHP Family is in Need.

Thank you for supporting CHP employees and their children.