June 1, 2018July 26, 2023 tedfundy In Kind Donations Please fill in the information below. Once you push "contribute" at the bottom, you will automatically be emailed a tax receipt. Thank you! In Kind Contribution * I am making an in-kind donation. - $ 0.00 Total Amount I am contributing on behalf of a business or organization. New Organization Organization Name * Email Address * Individual Information First Name / Primer Nombre * Last Name / Apellido * Email / Correo Electronico * Postal Code / Codigo Postal Preferred Language / Lenguaje preferido - select Preferred Language / Lenguaje preferido - Afrikaans Albanian Arabic Bulgarian Catalan; Valencian Chinese (China) Chinese (Taiwan) Czech Danish Dutch (Netherlands) English (Australia) English (Canada) English (United Kingdom) English (United States) Estonian Finnish French (Canada) French (France) German German (Swiss) Greek, Modern Hebrew (modern) Hindi Hungarian Indonesian Italian Japanese Khmer Lithuanian Norwegian BokmÃ¥l Polish Portuguese (Brazil) Portuguese (Portugal) Romanian, Moldavian, Moldovan Russian Slovak Slovene Spanish; Castilian (Spain) Spanish; Castilian (Mexico) Spanish; Castilian (Puerto Rico) Swedish Telugu Thai Turkish Vietnamese Dutch (Belgium) Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States Canada China Colombia Germany Jamaica Japan Jersey Jordan Mexico State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific 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 United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * In Kind Donations Please enter information about your contribution to BICAS Very briefly describe your donation. Brevamente nos describa sus donaciónes. Description/ Descripción Number of Bicycles / Numero de Bicicletas Value of donation * Contribute