If you have a coupon code, please apply it below.
First name *
Last name *
Company name (optional)
Country *United States (US)
Street address *
Apartment, suite, unit etc. (optional)
Town / City *
Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
Email address *
Order notes (optional)
Pay with your credit card via Infusionsoft.
Card number *
Expiry (MM/YY) *
Card code *
100% of your donation provides direct financial assistance to service organizations responsible for disaster-related response and recovery in the Florida panhandle. Funds are administered by the Florida Disaster Fund, the State of Florida’s official private fund established to assist Florida’s communities as they respond and recover during times of emergency or disaster. Donations to the FAIR Foundation, a 501(c)3 charitable organization, are tax deductible.
FLORIDA DEPARTMENT OF AGRICULTURE & CONSUMER SERVICES REGISTRATION #CH55441. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.