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Welcome to the Club 2023 (Giving Form)
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
Amount
*
$5,000
-
Milk for a Month
$2,500
-
Fund a Year of Sample Days
$1,000
-
Fund Deli Sides from New City Neighbors
$500
-
Fund a Member Appreciation Event
$
Donation Schedule
One Time
Monthly
Yearly
Add 3% to my total amount to help cover the payment processing fees