This is a form to donate money to ACA.

      Please consider doing more for ACA. For over thirty years ACA has been
      working hard on representing Americans overseas.  Membership dues fund our work,
      however, there is still lots to accomplish and to do this we need your financial
      support to do this vital work.  Consider making a donation, in any amount, to ACA
      by filling out the form below.      

      ACA guarantees that your name and address will be held in strictest confidence.

      If you want to donate using PayPal®, click here

      To print this form as a pdf file on your computer, click here

      ACA  5 rue Liotard  1202 Geneva  Switzerland

      To donate to ACA, please fill out the boxes below.


        Choose one: 
                   Donation of US$50.00
                   Donation of US$100.00
                   Donation of US$200.00  
                   Donation of US$500.00
                   Other amount: 
                   

      Family Name:  (Must be entered)
       First Name:  (Must be entered)
          Address:  
    Email address:  (Must be entered)
          Remarks: 
ACA guarantees that your name and address will be held in strictest confidence.  
Your email address will be used only for acknowledging your donation. 

Choose your payment method:
 
               By separate bank transfer to 
               UBS SA 
               Case postale
               1211 Geneva 2 
               Switzerland      BIC/Swift: UBSWCHZH12A
                   Bank transfer in US$ IBAN: CH74 0024 0240 2008 0660 P
                   Bank transfer in CHF IBAN: CH30 0024 0240 2008 0600 R  
                  
               Personal check
                   Check (US$ only. Send separately to ACA Geneva) 

               Credit Card (unsecure form; for secure payments use PayPal®)
                   Visa 
                   Master Card
                   American Express

                    Card number:  
                    Expiry date:  Name on card: 



          Please enter the answer to the following arithmetic problem:
          What is 41 minus 32 ?   (anti-spam test, must be entered)
          

If you have trouble sending this form via the internet, phone or fax our Geneva office: +41 22 3400233.
or print as PDF and send to: ACA  5 rue Liotard  1202 Geneva  Switzerland or by email .
If you want to pay using PayPal^®, click here