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Donation Amount:
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$54
$100
$180
$360
$540
$1,000
$
Disaster
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Maui
Morocco
Your Contact Information
Name
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Prefix
First Name
Last Name
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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.
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Spouse's Name
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Is this gift anonymous?
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Yes
No
If we have your permission to publicly acknowledge this contribution, how you would like your name(s) printed?
Email
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Additional Comments
Payment Information
Add 3% to my total amount to help cover the payment processing fees
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