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Thank you for your support!
Amount
*
$5,000
-
Excellence Donor*
$2,500
-
Premiere Donor*
$1,000
$500
$100
$
Donation Schedule
One Time
Monthly
Annually
Continue donating until
(mm/dd/yyyy)
* "Excellence" and "Premiere" donors will be recognized on our website homepage.
Please select if you do NOT wish to be acknowledged on our website.
Please click to confirm that this gift is in support of our 2020 Gala fundraising efforts.
Contact Information
Name
*
First Name
Last Name
Email
*
Phone
Organization/Employer
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Is this a tribute gift?
No
Yes, an honorary gift
Yes, a memorial gift
Please provide the name of the person being honored or memorialized
Please provide the contact information of the person who should be notified of this tribute gift
Comments
PLEASE check here to enable the Fund to receive your full contribution. (This will add 3% to the total amount to help cover payment processing fees). Visa, Mastercard, and Discover preferred.
