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Contact Information
Name
*
First Name
Last Name
Organization/Employer (Optional)
Email
*
Verify Email
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Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Donation Information
Amount. We appreciate all donations!
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$100
$250
$500
$1,000
$2,500
$
Donation Schedule. Please consider making your donation a monthly or quarterly contribution. This helps us with essential resources to serve our community throughout the year!
One Time
Monthly
Quarterly
Please let us direct your generous donation to where it will help us most
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Yes, please direct my donation
No, I would like to select a program myself
Which program would you like to direct your donation to?
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Adult Employment Program
English as a Second Language
Cooperative Development Program
Community Service Program
Food Pantry
Family Support
School-Based Programs
Special Project for Migrant Families
Would you like to dedicate this gift to someone?
No
Yes, it is an honorary gift
Yes, it is a memorial gift
Please provide the name and contact information of the honoree
Please provide the name of the deceased
Please provide contact information for a relative or friend of the deceased
Donor Feedback
How did you hear about us?
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Friends
Family
Professional colleagues
Board member
Email
Internet
Link on an event page
Donated during or after an event
Please provide the name(s) and contact information of the person or people who referred you to us
Event Name
*
Community Workshop Fundraiser
The Extra Mile
Add 3% to my total amount to help cover the payment processing fees