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STEP 1: Donation Information
I’d like to apply my gift to the following program area(s). You may pick one or more programs.
Food for the Interns
Replacing worn out tools, gear, and equipment
Where it's needed most
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
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
Recipient Name
Prefix
First Name
Last Name
Suffix
Recipient 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