Help Women in Afghanistan I choose to give $ 25.00 $ 50.00 $ 100.00 Other Amount Other Amount $ Total Amount I want to contribute this amount every month I am contributing on behalf of an organization. On Behalf Of Organization Organisation Name * Phone (Main) * Email (Main) * Street Address * City * Postal Code * State / Province * - select State/Province - Auckland Bay of Plenty Canterbury Gisborne Hawkes Bay Manawatu-Wanganui Marlborough Nelson Northland Otago Southland Taranaki Tasman waikato Wellington West Coast Country * - select Country - New Zealand Your information Email * First Name * Last Name * Street Address (Home) * Additional address City (Home) * Postal Code (Home) * Country (Home) * - select Country (Home) - New Zealand Mobile * Review your contribution