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Donation Form
One Can Help is a registered 501(c)3 nonprofit
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
Amount
*
$1,000
$500
$300
$100
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Is this a tribute gift?
*
You will be able to select who it is in honor of or in memory of in the next step.
No
Yes, in honor of
Yes, in memory of
Name of the person this tribute gift is honoring
Prefix
First Name
Last Name
Suffix
Name of the person this tribute gift is in memory of
Prefix
First Name
Last Name
Suffix
May we notify the honoree of your gift?
No
Yes
Honoree's email address
Verify Email
Honoree's mailing address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Optional Message to the Recipient
May we notify a family member or friend of your gift?
No
Yes
Name of family member or friend to be notified
First Name
Last Name
Family or friend's email address
Verify Email
Family or friend's mailing address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Optional Message to the Recipient
Add 3% to my total amount to help cover the payment processing fees
