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FRIENDS of CHML
Amount
*
$5
-
Student
$25
-
Individual
$40
-
Family
$100
-
Supporter
$500
-
Patron
$1,000
-
Benefactor
$250
-
Business
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
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
Phone
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