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Stripe Donations
Amount
*
$100
$50
$25
$15
$10
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Radio Buttons
General Operating Fund
Medical/Dental Needs
Eyeglasses
In memory of
In honor of
In memory/honor of:
First Name
Last Name
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