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STEP 1: Donation Information
Donation Amount
*
$35
-
Associate
$50
-
Patron
$100
-
Supporter
$250
-
Steward
$500
-
Benefactor
$1,000
-
Champion
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
STEP 2: Contact Information
Name
*
First Name
Last Name
Organization/Employer
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Your Phone
*
Comments (e.g. additional donor names)
Is this gift anonymous?
Yes, I prefer to make this donation anonymously.
Is this a memorial or honorary gift?
Memorial
Honorarium
Gift in memory of:
First Name
Last Name
Acknowledgement Letter to:
Prefix
First Name
Last Name
Suffix
Acknowledgement Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Matching Gift Program
My employer will match my gift.
Employer / Company Name
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Add 3% to my total amount to help cover the payment processing fees