Referral Donation Election

Your Name*

Email*

Phone number*

Referral's name*

Donation amount*—Please choose an option—$10$20$30$40$50$60$70$80$90$100$125$150$175$200$225$250$275$300$325$350$375$400

AMD will match 100% of your donation up to $100. See your email for the current charity your donation will benefit.

Please keep my donation anonymous.

Convert remainder to reward points?*YesNo

You will receive a 25% bonus if you choose to convert your remining referral fee into reward points. Reward points are subject to AMD's reward points program rules.

Please note: this decision is irreversible.

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