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Donor's Contact Information
This gift to MiCAN is made on behalf of:
A Business or Organization
An Individual or Family
Organization or Business Name
Contact's Email Address
Your tax receipt, thank you messages and updates will be sent to this address.
Address Line 1
Address Line 2
Contact's Cell Phone
This number will be used for immediate need, calls to action.
Would you like to be listed as an anonymous donor?
Yes, please DO NOT publish my name as a donor.
No, please feel free to include my name as a donor.
I would like my entire gift amount to support MiCAN, so please add 3% to my total to help cover the payment processing fees.