Donation Type
Type of Donation
Single (One-time)
Recurring (Monthly)
Payment Details
Donation Amount (USD)
$25
$50
$100
Other
Other Amount
(
$5
minimum)
Total Amount (hidden)
Name on Card
Card Number
MM
YY
CVC Code
Contact Details
First Name
Last Name
Contact Email
I would like to receive news and updates from Ashoka
yes
Billing Address
Country
Please select...
United States
Canada
--- --- ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Street
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Province
Please select...
Alberta
British Columbia
Labrador
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Nunavut
North West Terr.
Ontario
Prince Edward Is.
Quebec
Saskatchewen
Yukon
State / Province
Zip/Postal Code
Hidden System Fields
Currency
Used to set exchange rate only. Stripe currency must be updated manually if changed. See notes.
OwnerId
Campaign TFA Id
System Log
Funding Source ID
updated to YV Inc General Funds
Funding Link - Location Code
Funding Link - Program Code
Exchange Rate
Double Opt In Fields
Opt in via
TFA Form
Ashoka.org
Confirmation Form base URL
this is required if opt in via TFA is selected - must clone generic DOI Confirmation Form and update the URL here.
generic form : https://www.tfaforms.com/4741567
Double Opt-In Email Language
Please select...
EN_English
ES_Spanish
CS_Czech
DE_German
FR_French
IT_Italian
JA_Japanese
NL_Dutch
ID_Indonesian
RO_Romanian
PL_Polish
TR_Turkish
KO_Korean
EL_Greek
PT_Portugese
TH_Thai
site language iso controls the language of the double opt in email. currently the text of the opt-in email cannot be altered, just the language.
Double Opt In Newsletter List
Please select...
AR_Argentina
AT_Austria
BE_Belgium
BR_Brazil
CA_Canada
CH_Switzerland
CL_Chile
CO_Colombia
CS_Czech
DE_Germany
EG_Egypt
ES_Spain
FR_France
GB_UK
ID_Indonesia
IE_Ireland
IN_India
IT_Italy
JP_Japan
KE_Kenya
KR_South Korea
MX_Mexico
NG_Nigeria
NL_Netherlands
PA_Panama
PH_Philippines
PL_Poland
PT_Portugal
PY_Paraguay
RO_Romania
SE_Scandinavia
SG_Singapore
SN_Senegal
TR_Turkey
US_US_AshokaUpdates
US_US_USNewsletter
UY_Uruguay
XB_US_Weekly
XU_AshokaU
XY_Youth Venture
XZ_Youth Years
XM_Manual
iso site country on webcontact controls which list the subscriber is added to when completing double opt in
Manual Campaign Mapping
REQUIRED IF XM_MANUAL SELECTED. TFA ID, MUST END IN COMMA
DOI Member Status
can set member status on DOI campaign. bc sometimes you gotta do that. or at least once.
Click below to submit. Please do not click the 'back' button on your browser.