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Assistance League of Charlotte - Donation
Amount
*
$500
$250
$100
$50
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Date
*
(mm/dd/yyyy)
Make this donation anonymously.
Yes
Display my name as:
Where should we apply your donation?
*
Direct my gift to:
select one
General Funds
Operation School Bell
Operation Check Hunger
Mecklenburg County Teen Court
Scholarships
Would you like to dedicate your gift to a friend or loved one?
*
select one
Yes
No
Please select type of dedication:
*
select one
In honor of
In memory of
Person being honored/remembered:
*
Notification Preference:
*
select one
Postal mail
Email
Recipient Name
*
Recipient Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Recipient Email
*
Verify Email
*
Notification Message:
*
Name
First Name
Last Name
Add 3% to my total amount to help cover the payment processing fees
