Shoes and Clothes for Kids · Donation Form

Name *

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Email *

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Address *

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Amount *

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$500

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Donation Schedule

This is a Party on South Waterloo pledge payment: *

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Check if this gift is in honor or memory of someone

Yes

This gift is *

Select type of tribute

Tribute Name(s) *

Please enter the name(s) for whom this gift is in honor/memory of

I would like you to notify someone about my gift

If yes, please enter their contact information below

Yes

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Notification Name(s) *

First Name

Last Name

Notification Address *

Address Line 1

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Notification Email

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I would like this gift to remain anonymous

Yes