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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
Gift Information
Amount
*
$500
$250
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Please direct my support to...
*
select one
General Fund
Voters Guide
Voter Registration
Rising Stars
Luncheon
Anonymous Gift?
Yes
Tribute Gift?
Yes, In Honor of someone
Yes, In Memory of someone
No
Name of Tribute (person being honored/memorialized)
*
First Name
Last Name
Note of dedication (optional)
Do you want the League to notify someone about this tribute contribution?
Yes
No
Name of person(s) to be notified about this gift
*
First Name
Last Name
Address of person to be notified about this gift
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Does your employer have a Matching Gift program?
Yes
No
Employer Name
Contact name at Employer
First Name
Last Name
Email of contact at Employer
Verify Email
I will mail the matching gift form
*
Yes
No, please contact my employer
Additional comments (optional)
Add 3% to my total amount to help cover the payment processing fees