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Big Shoulders Circle Gift Details
Gift Amount
*
$20,000
$15,000
$10,000
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Weekly
Bi-Weekly
Bi-Monthly
Continue donating until
(mm/dd/yyyy)
Does your employer match your donations?
Company Name
Recognition
How would you like your name(s) to appear in our donor recognition materials?
I want my donation to be anonymous.
Is this gift made in honor or in memory of someone?
No
Yes, this is an honorary gift
Yes, this is a memorial gift
This gift is in honor of:
First Name
Last Name
This gift is in memory of:
First Name
Last Name
Contact info of honoree if you would like them to be notified:
Name and contact info of family/friend to be notified:
Your Information
Name
*
First Name
Last Name
Spouse/Partner Name
First Name
Last Name
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Verify Email
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Phone
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Yes! Please add 3% to my total donation to help cover APTP's processing fees