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Amount
*
$45
-
Student's tuition & uniform
$35
-
Student's transportation & health care
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Payment Method
*
select one
American Express
Discover
EFT
MasterCard
Visa
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
For International donors, please enter 0000 in any non-applicable address fields.
Phone
*
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