About Us
National Headquarters
Districts
Nests
Solutions
Protect Your Family’s Future
Life Insurance
Save for Your Future
Annuities
Further Your Education
Coverdell Education Savings Account
Scholarship Programs
Join Our Community
Adult Activities
Youth Activities
Award Programs
Member Magazine
Preserve Your Heritage
Polish Culture
Polish Falcons Heritage Foundation
More Solutions
COVID-19 Relief
Disaster Relief
Partnerships and Discounts
Dental/Vision
News
Latest News
Blog
Events
Contact Us
Contact Us
Management
Staff
Find an Agent
Join
Donate
T.A. Starzynski Scholarship
Disaster Relief Fund
COVID-19 Relief Fund
Officer Login
Member Login
T.A. Starzynski Scholarship
T.A. Starzynski Scholarship Fund Donation Form
Date
MM slash DD slash YYYY
Team Captains Name
(Required)
First
Last
Address
(Required)
Street Address
Email
Phone
In Honor of:
In Memory of:
Donation Amount
Total
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Security Code
Cardholder Name
Search for:
Search Button
