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Donation & Payment Details
My Matched Gift Amount - Every $1 = $2
*
$500 becomes $1000
$200 becomes $400
$100 becomes $200
$50 becomes $100
$25 becomes $50
$10 becomes $20
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Year-end Matching Gift Challenge
I'm making this donation to the gift challenge so every $1 I give will be matched to empower, educate, and support women living with chronic or serious health conditions on the Outer Cape!
This space is for any message you want to send with your donation
I/We would like my donation to remain anonymous.
I/We would like to learn more about estate planning and planned giving options with HOW.
My gift in or honor or in memory of someone.
In honor of
In memory of
Name of person being recognized
Whom should we notify of your tribute gift?
Email address of person to notify of your tribute gift.
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Donor Details
Name
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First Name
Last Name
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
Add 3% to my total amount to help cover the payment processing fees
