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America SCORES Milwaukee Donation Form
Amount
*
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Name
*
First Name
Last Name
Contact Information
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
Matching Gifts
Does your employer/organization match donations?
Yes
No
Name of matching employer/organization:
Comments
Recognition
Check if you would like to donate anonymously
Yes, please keep my gift anonymous
How would you like your gift recognized (i.e. Alex Jones, Alex and Mary Jones, or Jones Family, etc.)
Add 3% to my total amount to help cover the payment processing fees