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Monthly Giving
Thank you for setting up your automatic monthly donation. Your first donation occurs with the submission of this form. Subsequent monthly donations will occur on the same date each month. Thank you!
Name
*
First Name
Last Name
Amount
*
$
Donation Schedule
Monthly
Quarterly
Contact Information
Email
*
Verify Email
*
Please add me to your email list
Yes
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
Note
Add 3% to my total amount to help cover the payment processing fees
