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Donation

* Mandatory fields
*First Name
First name as listed on CC or acct used to pay
*Last Name
Last Name as listed on CC or acct used to pay
*Email
*Phone
*Mailing Address
house number and street
*City/Town
*ZIP Code
*Amount ($USD)
 Payment frequency
Donation Purpose
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Select an area you would like your donation to be put towards, or outline in comment section.
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