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CCHASM Online Donation Form

Instructions:

1. Complete the form below to submit your one-time or recurring donation.

2. Once you click the "Donate Here" button at the bottom of this page, you will proceed to a Summary Page.

3. On the Summary Page, finalize your donation by clicking the "PayPal Check out" button.

4. Proceed to PayPal to enter your debit/credit card or process via your PayPal account.

5. Once complete, you will receive an emailed receipt for your transaction.

We appreciate your support!

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Organization/Employer

Telephone Phone Number

Verify Email

Donation Amount *

$1,000

$500

$250

$100

$25

Donation Schedule

Donation/Specific Program *

Indicate here if your donation is a general CCHASM donation, for the Thanksgiving Meal Program, the COVID-19 program. If your donation is for more than one program, please indicate here.

Add 3% to my total amount to help cover the payment processing fees