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Palmetto Project Donation Form
Donation Amount
*
$50
$100
$250
$500
$1,000
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Donor Information
Name
*
First Name
Last Name
Organization (if it is not an individual donation)
Anonymous Gift?
Check if yes, leave as is if no.
Email
*
Verify Email
*
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Note
Add 3% to my total amount to help cover the payment processing fees