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Amount
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$100
$250
$500
$
Donation Schedule
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Contact Information
Name
First Name
Last Name
Email
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Address
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State
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Donor Name
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Your name as you wish it to appear on campaign materials and donor recognition.
Recognition
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I/We give permission for my/our name to be listed in the Report of Donors.
I/We would like my/our gift to remain anonymous.
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