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Business Giving
Amount
*
$2,000
-
Champion
$1,500
-
Corporate Leader
$1,000
-
Major Benefactor
$500
-
Benefactor
$250
-
Sponsor
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
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
Organization/Employer
*
Add 3% to my total amount to help cover the payment processing fees