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GEM
Donation Amount:
*
$18
$50
$100
$360
$500
$
Thank you for being a GEM. Your gift will recur monthly.
Monthly
Your Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Include a spouse/partner as a joint donor for this donation?
If yes, your spouse will be included on tax receipts and acknowledgments for this gift.
Yes
No
Spouse's Name
First Name
Last Name
Is this gift anonymous?
*
Yes
No
If we have your permission to publicly acknowledge this contribution, how you would like your name(s) printed?
Email
*
Verify Email
*
Cell Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
In Honor/In Memory Gifts
Is this gift in memory or in honor of someone?
*
No
In Memory of
In Honor of
Name for In Memory or In Honor of Gifts
Dedication
Should we notify anyone of this donation?
Select "yes" if you would like us to notify the individual (in honor of) or the family (in memory of) for this donation.
Yes, please notify the honoree
Yes, please notify the deceased's family/friend
No
Who to Notify for In Honor/In Memory of Gift:
First Name
Last Name
Notification Email for In Honor/In Memory of Gift:
Verify Email
Notification Address for In Honor/In Memory of Gift
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Additional Comments
Payment Information
Add 3% to my total amount to help cover the payment processing fees
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