SMART Recovery Logo
As an Insider, you will receive:
A special Insiders+ Welcome package
Subscription to a regular SMART supporter e-newsletter
Stories illustrating how your support is driving change in communities around the country
Invitations to participate in engagement opportunities, webinars, and other supporter events
And more!
Annual Contributions ($75 minimum)
$75
$150
$250
Other
Donation Amount
$
Frequency
Annually
I have read and agreed to the
terms and conditions.
The total below is for
this
recurring donation.
Contact Information
First Name
required
Last Name
required
Mobile Number
Email
required
Address
required
City
required
State
required
Your State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
required
How would you like your name printed on your Insiders certificate? (First and Last Name)
How would you like to pay?
Pay With
Apple Pay
Pay With
Credit Card
This is a secure 256-bit SSL encrypted payment
Routing Number
required
What is this?
Account Number
required
What is this?
Account Type
checking
savings
Name on Account
OK
Card Number
required
Expiration Date
required
Select a credit card type.
MM
01
02
03
04
05
06
07
08
09
10
11
12
/
Select a credit card type.
YY
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
This field is required.
Expired Credit Card
CVV
required
What is this?
Discover, Mastercard, Visa
3-Digit Card Verification Number
American Express
4-Digit Card Verification Number
OK
I would like to cover the payment processing fee.
Please make anonymous
Donor hereby approves the payment of the charitable donation and/or purchase to SMART Recovery and in the amount set forth herein.
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