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DONATIONS - General via Credit Card or PayPal
Please use this form for general donations only. Thank you!!!
Name
*
First Name
Last Name
Organization/Employer
Enter if this is a gift from an organization and you are the contact.
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
Please enter email address above.
Verify Email
*
Purpose of your donation?
*
Select the fund from the dropdown menu.
select one
OP 6 Construction Fund
JAVC General Fund
JAVC Membership
QTAX - AZ Qualified Tax Credit
Veterans Assist
Veterans Treatment Court
Women's Program
Payment Type
*
Please select from the dropdown menu.
select one
Paypal
Stripe (Credit Card)
Amount
*
$100
$50
$25
$
Donation Note
Enter any specific event for this donation. Example: Yard Sale.
