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Thank you for your support of the veterans and military families in our community!
Amount
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$25
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$100
$250
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$1,000
$2,500
$5,000
$10,000
$
Donation Schedule
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Contact Information
Name
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First Name
Last Name
Email
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Phone
Address
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Address Line 1
Address Line 2
City
City
State
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ZIP/Postal Code
Company Name
My company will match my gift
Yes
Recognition Name
I would like this gift to remain anonymous
Yes
This gift is in honor, memory or support of someone.
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In Honor of
In Memory of
Please notify the following person of my gift
Yes
Notification Name
First Name
Last Name
Notification Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Notification Email
Verify Email
Leave a comment (optional):
How did you learn about us?
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Veteran or Military
Friend of NEOPAT
Social Media
Other
Add 3% to my total amount to help cover the payment processing fees
